Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 06345 | Date 23/02/2024 |
| Token No | SM/22-23/18974 23/02/2024 | Serial | 029 |
| Patient Name | Mr. MAHANANDA SANTRA | Contact No | 9875619363 |
| Address | 12/C TARAPUKUR GOVT COLONY SERAMPORE 712203 | Age | 58 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||