Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04164 | Date 11/05/2023 |
| Token No | SM/24-25/33139 23/12/2024 | Serial | 041 |
| 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 | 110/70 mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||