Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02482 | Date 17/08/2022 |
| Token No | SM/22-23/4261 10/11/2022 | Serial | 034 |
| Patient Name | Mr. PRITAM HALDER | Contact No | 7439898960 |
| Address | PRABASHNAGAR SERAMPORE 712249 | Age | 17 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||