Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 06157 | Date 02/02/2024 |
| Token No | SM/22-23/18094 02/02/2024 | Serial | 038 |
| Patient Name | Mr. SANKAR KUMAR PAL | Contact No | 9883023475 |
| Address | 30/17 TARA PUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 64 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 69 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||