Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04280 | Date 07/06/2023 |
| Token No | SM/24-25/22684 03/06/2024 | Serial | 060 |
| Patient Name | Mr. LILTON DEY | Contact No | 8100408788 |
| Address | 35/B B B GHOSH ROAD SUKANTA PALLY SERAMPORE M 712249 | Age | 54 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/70 mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||