Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 06905 | Date 30/05/2024 |
| Token No | SM/24-25/22542 30/05/2024 | Serial | 061 |
| Patient Name | Mr. TAPOMAY CHOUDHURY | Contact No | 6289781570 |
| Address | D/158X TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 21 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 73 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||