Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 01660 | Date 25/05/2022 |
| Token No | SM/22-23/7671 20/03/2023 | Serial | 008 |
| Patient Name | Mr. RAJ SINGH | Contact No | 8240598652 |
| Address | 162/Y TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 28 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||