Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03267 | Date 26/11/2022 |
| Token No | SM/22-23/4778 26/11/2022 | Serial | 025 |
| Patient Name | Mr. SOURAV NANDY | Contact No | 6289521665 |
| Address | B/103/X TARAPUKUR GOVT QUARTER MALLICKPARA SERAMPORE 712203 | Age | 32 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 53 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||