Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04449 | Date 06/07/2023 |
| Token No | SM/22-23/10244 06/07/2023 | Serial | 012 |
| Patient Name | Mr. ROHIT DAS | Contact No | 8479971223 |
| Address | 140 NEW MAHESH SERAMPORE 712203 | Age | 16 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 34 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||