Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06172 | Date 03/02/2024 |
| Token No | SM/22-23/18129 03/02/2024 | Serial | 026 |
| Patient Name | Mr. RAJ BHARTI | Contact No | 9836853407 |
| Address | 157/A NEW MAHESH SERAMPORE 712203 | Age | 14 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||