Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07038 | Date 19/06/2024 |
| Token No | SM/24-25/31944 28/11/2024 | Serial | 021 |
| Patient Name | Mr. SANKAR DAS | Contact No | 9836636891 |
| Address | GHORAMARA P SERAMPORE 712203 | Age | 41 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||