Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 07846 | Date 05/09/2024 |
| Token No | SM/24-25/27780 05/09/2024 | Serial | 064 |
| Patient Name | Mr. AVIJIT DEY | Contact No | 8697155059 |
| Address | 210 2 NO RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 22 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||