Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 02084 | Date 28/06/2022 |
| Token No | SM/24-25/29107 04/10/2024 | Serial | 070 |
| Patient Name | Mr. GOURAB DAS | Contact No | 7980260810 |
| Address | B/111/X TARAPUKUR GOVT QUARTER MALLICKPARA SERAMPORE 712203 | Age | 30 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||