Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02755 | Date 23/09/2022 |
| Token No | SM/22-23/20367 01/04/2024 | Serial | 022 |
| Patient Name | Mr. BASUDEB DAS | Contact No | 9007899600 |
| Address | 10/A D N SARANI PRABASHNAGAR SERAMPORE 712249 | Age | 41 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||