Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09277 | Date 14/05/2025 |
| Token No | SM/25-26/2081 15/05/2025 | Serial | 044 |
| Patient Name | Mr. DILIP KUMAR KOIRY | Contact No | 7890221095 |
| Address | 97/H/2 PRAVASNAGAR SERAMPORE 712249 | Age | 35 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 90/60 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||