Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01943 | Date 17/06/2022 |
| Token No | SM/22-23/3436 14/10/2022 | Serial | 005 |
| Patient Name | Mr. HARIPADA DEBNATH | Contact No | 9748205485 |
| Address | 43/16/B D N SARANI PRABASHNAGAR SERAMPORE HOOGHLY 712249 | Age | 74 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||