Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 02785 | Date 26/09/2022 |
| Token No | SM/22-23/4079 05/11/2022 | Serial | 001 |
| Patient Name | Mr. AGRADEEP CHAKRABORTY | Contact No | 9007684315 |
| Address | C/122/Y TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 14 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||