Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 06986 | Date 12/06/2024 |
| Token No | SM/24-25/23059 12/06/2024 | Serial | 011 |
| Patient Name | Mr. RIKTAM SAHA | Contact No | 8100526065 |
| Address | 30/72 TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 19 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 78 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||