Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 02259 | Date 18/07/2022 |
| Token No | SM/22-23/5628 24/12/2022 | Serial | 029 |
| Patient Name | Mr. PUJA SHEULY | Contact No | 8444988114 |
| Address | 9 NO TARAPUKUR COLONY MALLICKPARA SERAMPORE 712203 | Age | 32 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||