Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 09111 | Date 16/04/2025 |
| Token No | SM/25-26/747 16/04/2025 | Serial | 062 |
| Patient Name | Mr. SOMNATH SIL | Contact No | 9874293729 |
| Address | 193 RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 44 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||