Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 02594 | Date 31/08/2022 |
| Token No | SM/22-23/5524 21/12/2022 | Serial | 038 |
| Patient Name | Mr. DEBRAJ SHAW | Contact No | 7003713220 |
| Address | 74/Y TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 21 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||