Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 07078 | Date 21/06/2024 |
| Token No | SM/24-25/23873 27/06/2024 | Serial | 057 |
| Patient Name | Mr. BASUDEB DAS | Contact No | 9123683430 |
| Address | 239 2NO RAJYADHARPUR GOVT COLONY SERAMPORE 71220349 | Age | 29 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||