Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 02068 | Date 27/06/2022 |
| Token No | SM/22-23/5587 23/12/2022 | Serial | 024 |
| Patient Name | Mr. KAUSIK SAHA | Contact No | 9123706863 |
| Address | 30/19 TARAPUKUR LANE SERAMPORE 712203 | Age | 31 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||