Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 08415 | Date 19/12/2024 |
| Token No | SM/25-26/1666 07/05/2025 | Serial | 042 |
| Patient Name | Mr. TARAK GHOSH | Contact No | 9674118392 |
| Address | 73/A RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 69 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||