Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04671 | Date 01/08/2023 |
| Token No | SM/24-25/36051 24/02/2025 | Serial | 025 |
| Patient Name | Mr. NILRATAN GOPE | Contact No | 9143011964 |
| Address | 49/P/2 PRABASHNAGAR SERAMPORE 712249 | Age | 64 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/70 mmHg | Weight | 76 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||