Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04916 | Date 22/08/2023 |
| Token No | SM/22-23/12176 22/08/2023 | Serial | 044 |
| Patient Name | Mr. MANOMOY BAISHNAB | Contact No | 7044691720 |
| Address | 26/F4 PRABASHNAGAR SERAMPORE 712249 | Age | 16 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||