Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08257 | Date 22/11/2024 |
| Token No | SM/24-25/31725 25/11/2024 | Serial | 023 |
| Patient Name | Mr. SOMNATH DEY | Contact No | 8420554202 |
| Address | 25 D N BHATTACHARYA SARANI PRAVASHNAGAR SERAMPORE 712249 | Age | 36 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||