Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03401 | Date 14/12/2022 |
| Token No | SM/24-25/21575 04/05/2024 | Serial | 054 |
| Patient Name | Mr. ASHOK KUMAR GHOSH | Contact No | 9674974019 |
| Address | 2 NO RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 62 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||