Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 07536 | Date 27/07/2024 |
| Token No | SM/24-25/25654 27/07/2024 | Serial | 056 |
| Patient Name | Mr. NABAKISHOR ROY | Contact No | 9339235293 |
| Address | C/124/X TARAPUKUR GOVT QUARTER MALLICKPARA SERAMPORE 712203 | Age | 49 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||