Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 01650 | Date 23/05/2022 |
| Token No | SM/22-23/79 23/05/2022 | Serial | 048 |
| Patient Name | Mr. VOBESH CHAKRABORTY | Contact No | |
| Address | SERAMPORE 712203 | Age | 72 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||