Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03340 | Date 07/12/2022 |
| Token No | SM/24-25/27766 05/09/2024 | Serial | 050 |
| Patient Name | Mr. RABIN DEBNATH | Contact No | 8820304389 |
| Address | 28/30 TARAPUKUR COLONY SERAMPORE 712203 | Age | 29 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||