Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05381 | Date 09/10/2023 |
| Token No | SM/22-23/14160 09/10/2023 | Serial | 080 |
| Patient Name | Master SAYAN DAS | Contact No | 8910145717 |
| Address | 43/6 GURU GARDEN ROAD SERAMPORE 712249 | Age | 4 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 15 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||