Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 06861 | Date 25/05/2024 |
| Token No | SM/24-25/22330 25/05/2024 | Serial | 046 |
| Patient Name | Mr. SUDIP BASU | Contact No | 9903127125 |
| Address | 5/X TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 45 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||