Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06634 | Date 25/04/2024 |
| Token No | SM/24-25/21170 25/04/2024 | Serial | 045 |
| Patient Name | Mr. BISWAJIT MANNA | Contact No | 8017570983 |
| Address | RAM KRISHNA PALLI SERAMPORE 712203 | Age | 31 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||