Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 06540 | Date 04/04/2024 |
| Token No | SM/24-25/20551 04/04/2024 | Serial | 036 |
| Patient Name | Mr. SOURAV DAS | Contact No | 9330100895 |
| Address | C/126/X TARAPUKUR GOVT QUARTERS MALLICKPARA SERAMPORE 712203 | Age | 24 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||