Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 06128 | Date 30/01/2024 |
| Token No | SM/22-23/17928 30/01/2024 | Serial | 017 |
| Patient Name | Mr. ARUN KUMAR BHAGAT | Contact No | 9339579565 |
| Address | 14/Y TARAPUKUR GOVT QUARTER MALLICKPARA SERAMPORE 712203 | Age | 64 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||