Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04307 | Date 12/06/2023 |
| Token No | SM/22-23/9487 12/06/2023 | Serial | 006 |
| Patient Name | Mr. PROVAT KUMAR GHOSAL | Contact No | 9874879867 |
| Address | 63/Y TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 73 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||