Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 08364 | Date 07/12/2024 |
| Token No | SM/24-25/32414 07/12/2024 | Serial | 007 |
| Patient Name | Mr. RAJIB MUKHERJEE | Contact No | 9062376517 |
| Address | 30/J/1 TARAPUKUR LANE SERAMPORE 712203 | Age | 53 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||