Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 01736 | Date 30/05/2022 |
| Token No | SM/22-23/6935 20/02/2023 | Serial | 012 |
| Patient Name | Mr. PINTU CHAKRABORTY | Contact No | 8276879114 |
| Address | 243 RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 53 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||