Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04763 | Date 09/08/2023 |
| Token No | SM/22-23/11881 16/08/2023 | Serial | 023 |
| Patient Name | Mr. SUNNY KUMAR | Contact No | 7461944063 |
| Address | 164 NEW MAHESH SERAMPORE 712203 | Age | 23 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||