Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 06535 | Date 04/04/2024 |
| Token No | SM/24-25/20530 04/04/2024 | Serial | 015 |
| Patient Name | Mr. ANKUS CHAUDHURI | Contact No | 9051152159 |
| Address | D/143X TARAPUKUR GOVT QUARTERS MALLICKPARA SERAMPORE 712203 | Age | 64 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||