Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 07204 | Date 28/06/2024 |
| Token No | SM/24-25/23945 28/06/2024 | Serial | 029 |
| Patient Name | Mr. SNEHASISH DAS | Contact No | 9433482472 |
| Address | J N LAHIRI ROAD SERAMPORE 712201 | Age | 29 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||