Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 02068 | Date 27/06/2022 |
| Token No | SM/22-23/7105 28/02/2023 | Serial | 028 |
| Patient Name | Mr. KAUSIK SAHA | Contact No | 9123706863 |
| Address | 30/19 TARAPUKUR LANE SERAMPORE 712203 | Age | 31 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||