Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06651 | Date 27/04/2024 |
| Token No | SM/24-25/21266 27/04/2024 | Serial | 034 |
| Patient Name | Mr. BASUDEV GHOSH | Contact No | 6291006915 |
| Address | DAKSHIN RAJYADHARPUR GHOSHPARA SERAMPORE 712203 | Age | 55 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||