Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 05708 | Date 23/11/2023 |
| Token No | SM/24-25/24575 06/07/2024 | Serial | 046 |
| Patient Name | Mr. BIPAD BHANJAN PODDER | Contact No | 9883262063 |
| Address | 10/3 HARIPARA LANE,SERAMPORE 712203 | Age | 65 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||