Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 07418 | Date 10/07/2024 |
| Token No | SM/24-25/30036 23/10/2024 | Serial | 108 |
| Patient Name | Mr. SUDARSHAN DAS | Contact No | 7044171640 |
| Address | C/126/X TARAPUKUR GOVT QUARTER MALLICKPARA SERAMPORE 712203 | Age | 43 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 75 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||