Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03090 | Date 09/11/2022 |
| Token No | SM/24-25/22951 10/06/2024 | Serial | 023 |
| Patient Name | Mr. SUBHOJIT DEY | Contact No | 8926777886 |
| Address | 30/13 TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 24 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 53 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||