Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03352 | Date 08/12/2022 |
| Token No | SM/22-23/5103 08/12/2022 | Serial | 029 |
| Patient Name | Mr. SWAPAN SAHA | Contact No | 9836164779 |
| Address | 144 RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 72 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 73 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||