Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06580 | Date 18/04/2024 |
| Token No | SM/24-25/20811 18/04/2024 | Serial | 013 |
| Patient Name | Mr. RAJENDAR CHOWDHURY | Contact No | 8902559780 |
| Address | 222 NEW MAHESH SERAMPORE 712203 | Age | 44 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||