Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01274 | Date 24/03/2020 |
| Token No | SM/22-23/19503 06/03/2024 | Serial | 047 |
| Patient Name | Mr. NIKHIL KUMAR AICH | Contact No | 9874372697 |
| Address | 65/23 B B GHOSH ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 71 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||