Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 08065 | Date 21/10/2024 |
| Token No | SM/24-25/30201 28/10/2024 | Serial | 020 |
| Patient Name | Mr. SURAJIT SARKAR | Contact No | 6297613226 |
| Address | 121 RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 27 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||