Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02608 | Date 02/09/2022 |
| Token No | SM/22-23/4570 19/11/2022 | Serial | 015 |
| Patient Name | Mr. PRIYANGSHU DIXIT | Contact No | 9126507164 |
| Address | 32 B B GHOSH ROAD SUKANTA PALLY SERAMPORE 712203 | Age | 10 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 25 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||