Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 06480 | Date 27/03/2024 |
| Token No | SM/22-23/20201 27/03/2024 | Serial | 027 |
| Patient Name | Mr. GOPAL CHATTERJEE | Contact No | 9903656349 |
| Address | 10 SANIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 51 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||