Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09277 | Date 14/05/2025 |
| Token No | SM/25-26/1976 14/05/2025 | Serial | 023 |
| Patient Name | Mr. DILIP KUMAR KOIRY | Contact No | 7890221095 |
| Address | 97/H/2 PRAVASNAGAR SERAMPORE 712249 | Age | 35 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||