Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04909 | Date 22/08/2023 |
| Token No | SM/22-23/12156 22/08/2023 | Serial | 024 |
| Patient Name | Mr. RASAN BHUIYA | Contact No | 8961292828 |
| Address | B B GHOSH ROAD HARIJAN BASTI SERAMPORE 712203 | Age | 26 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||