Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 05026 | Date 01/09/2023 |
| Token No | SM/22-23/12572 01/09/2023 | Serial | 015 |
| Patient Name | Mr. BIKASH SARKAR | Contact No | 9062272297 |
| Address | 218 RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 14 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||