Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 08547 | Date 13/01/2025 |
| Token No | SM/25-26/6108 09/08/2025 | Serial | 008 |
| Patient Name | Mr. AMIT DUTTA | Contact No | 9339370506 |
| Address | D/155/Y TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 37 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||