Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 05422 | Date 12/10/2023 |
| Token No | SM/24-25/23652 24/06/2024 | Serial | 076 |
| Patient Name | Mr. SUMIT DUTTA | Contact No | 9831991256 |
| Address | TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 21 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||