Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 07158 | Date 26/06/2024 |
| Token No | SM/24-25/23814 26/06/2024 | Serial | 090 |
| Patient Name | Mr. INDRANIL SUR | Contact No | 9875557426 |
| Address | 75/Y TARAPUKUR GOVT QUARTER MALLICKPARA SERAMPORE 712203 | Age | 27 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||