Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03267 | Date 26/11/2022 |
| Token No | SM/24-25/27500 02/09/2024 | Serial | 036 |
| Patient Name | Mr. SOURAV NANDY | Contact No | 6289521665 |
| Address | B/103/X TARAPUKUR GOVT QUARTER MALLICKPARA SERAMPORE 712203 | Age | 32 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||