Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08048 | Date 19/10/2024 |
| Token No | SM/24-25/29626 19/10/2024 | Serial | 003 |
| Patient Name | Mr. SANKAR DAS GHOSH | Contact No | 7980938169 |
| Address | 21/D/1 D N BHATTACHARYA SARANI SERAMPORE 712249 | Age | 41 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||