Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 06372 | Date 02/03/2024 |
| Token No | SM/22-23/19330 02/03/2024 | Serial | 025 |
| Patient Name | Mr. RAMKRISHNA KARMAKAR | Contact No | 9830866572 |
| Address | 32/X TARAPUKUR GOVT QUARTERS MALLICKPARA SERAMPORE 712203 | Age | 87 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 42 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||