Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 07956 | Date 26/09/2024 |
| Token No | SM/24-25/28789 26/09/2024 | Serial | 044 |
| Patient Name | Mr. SANJIB PAUL | Contact No | 8334072597 |
| Address | 123 2 NO RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 55 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||