Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07811 | Date 03/09/2024 |
| Token No | SM/24-25/27604 03/09/2024 | Serial | 056 |
| Patient Name | Mr. VIKRAM CHAKRABORTY | Contact No | 9088371443 |
| Address | 43/20/H/2 PRAVASHNAGAR SERAMPORE 712249 | Age | 25 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||