Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09184 | Date 28/04/2025 |
| Token No | SM/25-26/1296 28/04/2025 | Serial | 040 |
| Patient Name | Mr. BHARAT ROUTH | Contact No | 9007398341 |
| Address | 97/H/12 PRAVASHNAGAR SERAMPORE 712249 | Age | 62 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||