Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04506 | Date 14/07/2023 |
| Token No | SM/22-23/10511 14/07/2023 | Serial | 003 |
| Patient Name | Mr. SURAJ KUMAR RAJAK | Contact No | 6291598458 |
| Address | 194 NEW MAHESH SERAMPORE 712203 | Age | 15 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||