Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05061 | Date 05/09/2023 |
| Token No | SM/22-23/15785 24/11/2023 | Serial | 022 |
| Patient Name | Mr. SUJAY DAS MUNSI | Contact No | 9330080010 |
| Address | 65/22/7 GUEU GARDEN ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 39 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 95 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||