Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03090 | Date 09/11/2022 |
| Token No | SM/22-23/5473 20/12/2022 | Serial | 019 |
| Patient Name | Mr. SUBHOJIT DEY | Contact No | 8926777886 |
| Address | 30/13 TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 24 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 53 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||