Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 07803 | Date 03/09/2024 |
| Token No | SM/24-25/27560 03/09/2024 | Serial | 012 |
| Patient Name | Mr. PROVASH BANIK | Contact No | 9831178820 |
| Address | C/134/Y TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 73 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||