Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04171 | Date 12/05/2023 |
| Token No | SM/22-23/15780 24/11/2023 | Serial | 017 |
| Patient Name | Mr. RABINDRA NATH DAS | Contact No | 7003735798 |
| Address | 43/6 PRABASHNAGAR SERAMPORE SERAMPORE 712249 | Age | 48 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||