Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03610 | Date 14/01/2023 |
| Token No | SM/22-23/6105 14/01/2023 | Serial | 022 |
| Patient Name | Mr. KAUSHIK DASGUPTA | Contact No | 9748662185 |
| Address | 156/Y TARAPUKUR GOVT QUARTER MALLICKPARA SERAMPORE 712203 | Age | 61 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||