Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04973 | Date 28/08/2023 |
| Token No | SM/22-23/12403 28/08/2023 | Serial | 005 |
| Patient Name | Mr. JAHAR PAL | Contact No | 8697610525 |
| Address | 65/19 WEST JANNAGAR SERAMPORE 712249 | Age | 75 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||