Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 09041 | Date 03/04/2025 |
| Token No | SM/25-26/182 03/04/2025 | Serial | 064 |
| Patient Name | Mr. BABBU BHAGAT | Contact No | 8882461070 |
| Address | 14/Y TARAPUKUR GOVT QUARTER MALLICKPARA SERAMPORE 712203 | Age | 50 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||