Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04846 | Date 17/08/2023 |
| Token No | SM/22-23/11944 17/08/2023 | Serial | 027 |
| Patient Name | Mr. MOHD CHAND | Contact No | 9007450915 |
| Address | 135 MALLICKPARA SERAMPORE 712203 | Age | 16 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||