Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08753 | Date 19/02/2025 |
| Token No | SM/25-26/8005 15/09/2025 | Serial | 021 |
| Patient Name | Mr. PRADYUT MAJUMDAR | Contact No | 9831987425 |
| Address | 49/J/1 GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 43 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||