Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08571 | Date 17/01/2025 |
| Token No | SM/24-25/34487 21/01/2025 | Serial | 061 |
| Patient Name | Mr. BISWAJIT MONDAL | Contact No | 9831699394 |
| Address | 20/A/6 PRAVASHNAGAR SERAMPORE 712249 | Age | 49 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||