Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 06132 | Date 30/01/2024 |
| Token No | SM/22-23/17937 30/01/2024 | Serial | 026 |
| Patient Name | Mr. SANKAR SAHA | Contact No | 9903656347 |
| Address | 155 RAJYADHARPUR GOVT COLONY MALLICKPARA SERAMPORE 712203 | Age | 60 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 66 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||