Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 02971 | Date 22/10/2022 |
| Token No | SM/24-25/31924 28/11/2024 | Serial | 001 |
| Patient Name | Mr. GOUTAM CHATTERJEE | Contact No | 9836588162 |
| Address | B/65/Y TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 57 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/70 mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||