Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03832 | Date 24/02/2023 |
| Token No | SM/22-23/7054 24/02/2023 | Serial | 024 |
| Patient Name | Mr. BIJOY GURUNG | Contact No | 8013509234 |
| Address | 63X TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 30 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||