Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 00886 | Date 07/02/2020 |
| Token No | SM/22-23/821 24/06/2022 | Serial | 004 |
| Patient Name | Mr. GOURHARI SADHUKHAN | Contact No | 8981158171 |
| Address | 41 TARAPUKUR LANE SERAMPORE 712203 | Age | 55 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||