Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05161 | Date 16/09/2023 |
| Token No | SM/22-23/13183 16/09/2023 | Serial | 033 |
| Patient Name | Mr. ADITYA SAHU | Contact No | 9038574810 |
| Address | 66/E PROVASNAGAR SERAMPORE 712249 | Age | 20 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||