Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04343 | Date 16/06/2023 |
| Token No | SM/22-23/9661 16/06/2023 | Serial | 028 |
| Patient Name | Mr. DIPANKAR GHOSH | Contact No | 9674118392 |
| Address | 73/A RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 41 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||