Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 06714 | Date 04/05/2024 |
| Token No | SM/24-25/21548 04/05/2024 | Serial | 027 |
| Patient Name | Mr. SAMIRAN GOSWAMI | Contact No | 9433390536 |
| Address | C/135/Y TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 36 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||