Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08739 | Date 15/02/2025 |
| Token No | SM/24-25/36560 07/03/2025 | Serial | 021 |
| Patient Name | Mr. KRISHNA CHANDRA DEY | Contact No | 7450040871 |
| Address | TALPUKUR RAJYADHARPUR SERAMPORE 712203 | Age | 57 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||