Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 06061 | Date 15/01/2024 |
| Token No | SM/22-23/19742 12/03/2024 | Serial | 042 |
| Patient Name | Mr. SUBHAS GHARAI | Contact No | 8017506963 |
| Address | 174/X TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 54 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/70 mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||