Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 07379 | Date 05/07/2024 |
| Token No | SM/24-25/24529 05/07/2024 | Serial | 079 |
| Patient Name | Mr. PRABHAT DHAR | Contact No | 7439193158 |
| Address | D/151/X TARAPUKUR GOVT QUARTER MALLICKPARA SERAMPORE 712203 | Age | 16 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||