Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03153 | Date 16/11/2022 |
| Token No | SM/22-23/15497 14/11/2023 | Serial | 017 |
| Patient Name | Mr. SARVESH ESAI | Contact No | 7278235586 |
| Address | 35/Y TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 44 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||