Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 08348 | Date 05/12/2024 |
| Token No | SM/25-26/9748 31/10/2025 | Serial | 043 |
| Patient Name | Mr. RATAN KRISHNA BOSE | Contact No | 8335861622 |
| Address | 57/X TARAPUKUR GOVT QUARTERS MALLICKPARA SERAMPORE 712203 | Age | 80 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||