Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03475 | Date 22/12/2022 |
| Token No | SM/22-23/5582 23/12/2022 | Serial | 019 |
| Patient Name | Mr. SANTANU CHAKRABORTY | Contact No | 8240267398 |
| Address | 162/X TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 40 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 79 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||