Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05373 | Date 09/10/2023 |
| Token No | SM/22-23/14137 09/10/2023 | Serial | 057 |
| Patient Name | Mr. PRADIP DAS | Contact No | 8017131672 |
| Address | 114 PRABASHNAGAR SERAMPORE 712249 | Age | 42 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||