Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03855 | Date 02/03/2023 |
| Token No | SM/22-23/7193 02/03/2023 | Serial | 034 |
| Patient Name | Mr. RANJIT KUMAR BISWAS | Contact No | 8013284146 |
| Address | 136/X TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 63 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||