Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 05498 | Date 24/10/2023 |
| Token No | SM/25-26/3044 05/06/2025 | Serial | 002 |
| Patient Name | Mr. GOURAB BANERJEE | Contact No | 8100868452 |
| Address | 35 RISHI BANKIM SARANI SERAMPORE 712201 | Age | 34 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | 135/86 mmHg | Weight | 75 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||