Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 00261 | Date 27/09/2019 |
| Token No | SM/22-23/5374 17/12/2022 | Serial | 007 |
| Patient Name | Mr. ARKO DAS | Contact No | 9231681988 |
| Address | 30/34 TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 19 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||