Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 07277 | Date 01/07/2024 |
| Token No | SM/24-25/24117 01/07/2024 | Serial | 026 |
| Patient Name | Mr. MUKUNDA DEY | Contact No | 6290651661 |
| Address | 1/19 RAJYADHARPUR GOVT QUARTER SERAMPORE 712203 | Age | 62 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||