Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 01412 | Date 13/04/2020 |
| Token No | SM/22-23/57 23/05/2022 | Serial | 026 |
| Patient Name | Mr. SANTU NAG | Contact No | 9038650369 |
| Address | 30/66 TARAPUKUR COLONY SERAMPORE 712203 | Age | 49 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||