Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05055 | Date 04/09/2023 |
| Token No | SM/22-23/12713 04/09/2023 | Serial | 063 |
| Patient Name | Mr. SHEULI SARDAR | Contact No | 9062827056 |
| Address | PRABASHNAGAR SERAMPORE 712249 | Age | 29 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||