Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06903 | Date 30/05/2024 |
| Token No | SM/24-25/22540 30/05/2024 | Serial | 059 |
| Patient Name | Mr. DIPAK RAY | Contact No | 9874602312 |
| Address | SATGHARA PURBAPARA SERAMPORE 712203 | Age | 50 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||