Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03569 | Date 04/01/2023 |
| Token No | SM/22-23/5914 04/01/2023 | Serial | 006 |
| Patient Name | Mr. FANIBHUSAN CHAKRABORTY | Contact No | 8902294196 |
| Address | C/119/X TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 67 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||