Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 07679 | Date 14/08/2024 |
| Token No | SM/24-25/30642 05/11/2024 | Serial | 033 |
| Patient Name | Mr. SUBRATA GHARAI | Contact No | 9875665883 |
| Address | 174/X TARAPUKUR GOVT QUARTER MALLICKPARA SERAMPORE 712203 | Age | 31 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||