Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 08444 | Date 23/12/2024 |
| Token No | SM/24-25/33163 23/12/2024 | Serial | 065 |
| Patient Name | Mr. RAJENDAR BASFOR | Contact No | 9163736407 |
| Address | 174 TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 45 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||