Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 07919 | Date 20/09/2024 |
| Token No | SM/24-25/32513 09/12/2024 | Serial | 055 |
| Patient Name | Mr. SUDIP KARMAKAR | Contact No | 7980042190 |
| Address | 98/1 RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 10 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||