Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04164 | Date 11/05/2023 |
| Token No | SM/24-25/29141 05/10/2024 | Serial | 025 |
| Patient Name | Mr. TAPAN PALIT | Contact No | 7998929309 |
| Address | 9/A TARA PUKUR LANE SERAMPORE M 712203 | Age | 57 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/80 mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||