Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06264 | Date 12/02/2024 |
| Token No | SM/22-23/18525 12/02/2024 | Serial | 006 |
| Patient Name | Mr. JAHARLAL SAHA | Contact No | 9674261143 |
| Address | 35/F B B GHOSH ROAD MALLICKPARA SERAMPORE 712203 | Age | 60 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||