Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 04773 | Date 10/08/2023 |
| Token No | SM/22-23/11617 10/08/2023 | Serial | 007 |
| Patient Name | Mr. KRISHNENDU GHOSH | Contact No | 8647873485 |
| Address | 39/A/1 TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 73 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||