Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 06462 | Date 22/03/2024 |
| Token No | SM/22-23/20092 22/03/2024 | Serial | 022 |
| Patient Name | Mr. NARAYAN CHANDRA SAHA | Contact No | 8334827940 |
| Address | 208 RAJYADHARPUR GOVT COLONY MALLICKPARA SERAMPORE 712203 | Age | 59 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||