Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04318 | Date 13/06/2023 |
| Token No | SM/22-23/9528 13/06/2023 | Serial | 006 |
| Patient Name | Mr. CHANDRIKA PRASAD ROY | Contact No | 9836464134 |
| Address | A/7/X TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 80 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||