Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 06958 | Date 07/06/2024 |
| Token No | SM/24-25/22869 07/06/2024 | Serial | 045 |
| Patient Name | Mr. SANTASIL DAS | Contact No | 9330302454 |
| Address | D/149/X TARAPUKUR GOVT QUARTER MALLICKPARA SERAMPORE 712203 | Age | 30 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||