Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 06424 | Date 13/03/2024 |
| Token No | SM/22-23/19797 13/03/2024 | Serial | 052 |
| Patient Name | Mr. SUNIL GOUR | Contact No | 9836515242 |
| Address | 23/X TARAPUKUR GOVT QUARTER MALLICKPARA SERAMPORE 712203 | Age | 47 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 69 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||