Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04164 | Date 11/05/2023 |
| Token No | SM/22-23/8749 11/05/2023 | Serial | 035 |
| Patient Name | Mr. TAPAN PALIT | Contact No | 7998929309 |
| Address | 9/A TARA PUKUR LANE SERAMPORE M 712203 | Age | 57 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||