Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 02616 | Date 05/09/2022 |
| Token No | SM/22-23/9041 23/05/2023 | Serial | 001 |
| Patient Name | Mr. UJJWAL GHOSH | Contact No | 9836988182 |
| Address | 30/1 TARAPUKUR LANE SERAMPORE 712203 | Age | 52 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 76 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||