Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04028 | Date 10/04/2023 |
| Token No | SM/22-23/19771 13/03/2024 | Serial | 026 |
| Patient Name | Master ANKIT HARI | Contact No | 9007592124 |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 4 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 10 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||