Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04513 | Date 15/07/2023 |
| Token No | SM/24-25/25396 23/07/2024 | Serial | 031 |
| Patient Name | Mr. SANTANU HALDER | Contact No | 7439050833 |
| Address | 4/A/2/A TARAPUKUR BAGAN BASTI LANE SERAMPORE 712203 | Age | 15 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||