Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04443 | Date 04/06/2021 |
| Token No | SM/24-25/16223 13/05/2024 | Serial | 029 |
| Patient Name | Mr. TAPAS KURI | Contact No | 8017536603 |
| Address | MALLICKPARA, SERAMPORE | Age | 49 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||