Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 08287 | Date 25/11/2024 |
| Token No | SM/24-25/31764 25/11/2024 | Serial | 062 |
| Patient Name | Mr. CHIRANJIT MAJUMDER | Contact No | 8582883407 |
| Address | 174 RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 40 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||