Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03880 | Date 04/03/2023 |
| Token No | SM/24-25/25339 22/07/2024 | Serial | 045 |
| Patient Name | Mr. SOUVIK DAS | Contact No | 8583028841 |
| Address | 55A/12 B B GHOSH ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 22 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||