Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 08302 | Date 27/11/2024 |
| Token No | SM/24-25/31905 27/11/2024 | Serial | 054 |
| Patient Name | Mr. DULAL MAJUMDAR | Contact No | |
| Address | 71/Y TARAPUKUR GOVT QUARTER MALLICKPARA SERAMPORE 712203 | Age | 70 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||