Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 05366 | Date 09/10/2023 |
| Token No | SM/24-25/23746 26/06/2024 | Serial | 022 |
| Patient Name | Mr. DEBASHISH DAS | Contact No | 8420816499 |
| Address | B/110/X TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 56 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||