Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 08651 | Date 31/01/2025 |
| Token No | SM/24-25/35009 31/01/2025 | Serial | 088 |
| Patient Name | Mr. ASHIT GHOSH | Contact No | 9433279408 |
| Address | 138/Y TARAPUKUR GOVT QUARTER MALLICKPARA SERAMPORE 712203 | Age | 44 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||