Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 08991 | Date 28/03/2025 |
| Token No | SM/24-25/37603 28/03/2025 | Serial | 049 |
| Patient Name | Mr. DIPAK GHOSH | Contact No | 7450876803 |
| Address | 177 RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 55 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||