Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 09716 | Date 08/08/2025 |
| Token No | SM/25-26/6077 08/08/2025 | Serial | 031 |
| Patient Name | Mr. TARUN BASAK | Contact No | 9339982528 |
| Address | 97 1 NO RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 53 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||