Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04178 | Date 15/05/2023 |
| Token No | SM/22-23/8825 15/05/2023 | Serial | 002 |
| Patient Name | Mr. GOPAL CHATTERJEE | Contact No | 7980141914 |
| Address | TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 43 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||