Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 07233 | Date 28/06/2024 |
| Token No | SM/24-25/24012 28/06/2024 | Serial | 096 |
| Patient Name | Mr. PRASUN BASAK | Contact No | 7980866807 |
| Address | 146 RAJYADHARPUR GOVT COLONY MALLICKPARA SERAMPORE 712203 | Age | 47 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||