Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03433 | Date 19/12/2022 |
| Token No | SM/22-23/19526 07/03/2024 | Serial | 003 |
| Patient Name | Mr. TARUN DAS | Contact No | 8584963976 |
| Address | 25/3/A PRABASHNAGAR SERAMPORE 712249 | Age | 56 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||