Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05794 | Date 05/12/2023 |
| Token No | SM/22-23/16163 05/12/2023 | Serial | 003 |
| Patient Name | Mr. PRAMOD KUMAR GOND | Contact No | 6290179023 |
| Address | 91 NEW MAHESH SERAMPORE 712203 | Age | 11 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 21 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||