Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 07460 | Date 18/07/2024 |
| Token No | SM/24-25/25082 18/07/2024 | Serial | 036 |
| Patient Name | Mr. DIPANKAR CHAKRABORTY | Contact No | 9163622634 |
| Address | 280 MAHESH COLONY SERAMPORE 712202 | Age | 39 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||