Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03430 | Date 17/12/2022 |
| Token No | SM/22-23/5393 17/12/2022 | Serial | 026 |
| Patient Name | Mr. RAJU MALLICK | Contact No | 8961671771 |
| Address | B/92/X TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 41 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||