Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 02016 | Date 23/06/2022 |
| Token No | SM/22-23/775 23/06/2022 | Serial | 024 |
| Patient Name | Mr. ARGHYA SENGUPTA | Contact No | 8296454513 |
| Address | 178/C VIVEKANANDA SARANI BAIDYABATI M 712203 | Age | 42 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||