Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00061 | Date 09/09/2019 |
| Token No | SM/19-20/61 09/09/2019 | Serial | 018 |
| Patient Name | Mr. HARISH BHUIYA | Contact No | 6289057481 |
| Address | PRAVASHNAGAR SERAMPORE 712249 | Age | 16 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 43 KG |
| Pulse Rate | 86 / min | Height | 5.4 cm |
| Diagnosis | |||