Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 08148 | Date 04/11/2024 |
| Token No | SM/24-25/30582 04/11/2024 | Serial | 043 |
| Patient Name | Mr. SURAJIT KOLAY | Contact No | 6289984064 |
| Address | 39 SASHIBHUSHAN GHOSH LANE SERAMPORE 712202 | Age | 19 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||