Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03890 | Date 06/03/2023 |
| Token No | SM/22-23/16229 07/12/2023 | Serial | 009 |
| Patient Name | Mr. HRIDAY DAS | Contact No | 9062381446 |
| Address | SOCIETY MATH B B GHOSH ROAD SERAMPORE 712203 | Age | 60 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||