Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 06282 | Date 15/02/2024 |
| Token No | SM/22-23/18692 17/02/2024 | Serial | 015 |
| Patient Name | Mr. SURAJIT NAG | Contact No | 7890094528 |
| Address | 30/66 TARAPUKUR COLONY MALLICKPARA SERAMPORE 712203 | Age | 43 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||