Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03465 | Date 21/12/2022 |
| Token No | SM/22-23/5531 21/12/2022 | Serial | 045 |
| Patient Name | Mr. DIPAK DAS | Contact No | 9339621202 |
| Address | 110/Y TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 52 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||