Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 02010 | Date 23/06/2022 |
| Token No | SM/22-23/997 30/06/2022 | Serial | 011 |
| Patient Name | Mr. SWAPAN BHATTACHARYA | Contact No | 7998763661 |
| Address | 190/2 RAJYADHARPUR GOVT COLONY SERAMPORE HOOGHLY 712203 | Age | 67 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||