Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07284 | Date 01/07/2024 |
| Token No | SM/25-26/1668 07/05/2025 | Serial | 044 |
| Patient Name | Mr. BISWAJIT DAS | Contact No | |
| Address | SERAMPORE | Age | 42 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||