Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 06619 | Date 24/04/2024 |
| Token No | SM/24-25/21103 24/04/2024 | Serial | 031 |
| Patient Name | Mr. AMIT KUMAR CHAKRABORTY | Contact No | 9674249253 |
| Address | C/125/X TARAPUKUR GOVT QUARTER MALLICKPARA SERAMPORE 712203 | Age | 55 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 58 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||