Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01824 | Date 03/06/2022 |
| Token No | SM/24-25/28116 11/09/2024 | Serial | 072 |
| Patient Name | Mr. ABHIJIT ADAK | Contact No | 9475100476 |
| Address | AMULYA KANAN HOUSING PHASE II SERAMPORE 712203 | Age | 52 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||