Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05286 | Date 29/09/2023 |
| Token No | SM/22-23/14515 17/10/2023 | Serial | 058 |
| Patient Name | Mr. SURAJ PATWA | Contact No | 9836777014 |
| Address | 66/B GURU GARDEN ROAD SERAMPORE 712249 | Age | 15 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||