Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04783 | Date 10/08/2023 |
| Token No | SM/22-23/11642 10/08/2023 | Serial | 032 |
| Patient Name | Mr. BISWAJIT DAS | Contact No | 9051657488 |
| Address | 138/A RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 47 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||