Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03833 | Date 24/02/2023 |
| Token No | SM/22-23/7058 24/02/2023 | Serial | 028 |
| Patient Name | Mr. SHAMBHU SHUILI | Contact No | 7449614610 |
| Address | 5/A TARAPUKUR COLONY SERAMPORE 712203 | Age | 35 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||