Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 07254 | Date 29/06/2024 |
| Token No | SM/24-25/24053 29/06/2024 | Serial | 034 |
| Patient Name | Mr. ASHOK KUMAR DEY | Contact No | 6290328114 |
| Address | 30/40A TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 46 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||