Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 07445 | Date 16/07/2024 |
| Token No | SM/24-25/25006 16/07/2024 | Serial | 007 |
| Patient Name | Mr. GOPAL GHARAI | Contact No | 8017506963 |
| Address | 6/B TARAPUKUR COLONY MALLICKPARA SERAMPORE 712203 | Age | 60 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||