Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 06697 | Date 03/05/2024 |
| Token No | SM/24-25/32103 02/12/2024 | Serial | 021 |
| Patient Name | Mr. BIKASH SUILI | Contact No | 9038561533 |
| Address | 8 /A TARAPUKUR COLONY MALLICKPARA SERAMPORE 712203 | Age | 72 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | 140/80 mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||