Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 06124 | Date 29/01/2024 |
| Token No | SM/22-23/17899 29/01/2024 | Serial | 063 |
| Patient Name | Mr. DURGAPADA DAS | Contact No | 8335815287 |
| Address | 149/X TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 62 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||