Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 06922 | Date 03/06/2024 |
| Token No | SM/24-25/22664 03/06/2024 | Serial | 040 |
| Patient Name | Mr. PRADIPTA DUTTA | Contact No | 7003618685 |
| Address | A/9/X TARAPUKUR GOVT QUARTER MALLICKPARA SERAMPORE 712203 | Age | 47 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 81 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||