Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 00199 | Date 20/09/2019 |
| Token No | SM/24-25/25310 22/07/2024 | Serial | 016 |
| Patient Name | Mr. BISWANATH CHAKRABORTY | Contact No | 9681596074 |
| Address | 30/75 TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 60 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/80 mmHg | Weight | 67 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||