Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 08656 | Date 01/02/2025 |
| Token No | SM/24-25/35058 01/02/2025 | Serial | 048 |
| Patient Name | Mr. TAPAS BANIK | Contact No | 9007077364 |
| Address | 28/A TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 51 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||