Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 02175 | Date 07/07/2022 |
| Token No | SM/22-23/7967 04/04/2023 | Serial | 007 |
| Patient Name | Mr. BAPI THANDAR | Contact No | 9088972286 |
| Address | 121/X TARAPUKUR GOVT QUARTER MALLICKPARA SERAMPORE 712203 | Age | 35 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||