Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03163 | Date 16/11/2022 |
| Token No | SM/24-25/29128 05/10/2024 | Serial | 012 |
| Patient Name | Mr. TAPAN BHATTACHARJEE | Contact No | 7596923374 |
| Address | 190/2 RAJYADHARPUR GOVE COLONY SERAMPORE 712203 | Age | 61 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||