Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04859 | Date 18/08/2023 |
| Token No | SM/22-23/11979 18/08/2023 | Serial | 011 |
| Patient Name | Mr. KRISH DIVYANSHU | Contact No | 7980564397 |
| Address | 203 RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 16 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||