Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 07493 | Date 20/07/2024 |
| Token No | SM/24-25/25258 20/07/2024 | Serial | 024 |
| Patient Name | Mr. KAMAL KUMAR DAS | Contact No | 9062116180 |
| Address | 2/A TARAPUKUR COLONY MALLICKPARA SERAMPORE 712203 | Age | 47 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||