Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 03427 | Date 17/12/2022 |
| Token No | SM/22-23/5384 17/12/2022 | Serial | 017 |
| Patient Name | Mr. TAARZAN KUMAR DAS | Contact No | 9748685695 |
| Address | 55 RAILAND ROAD SERAMPORE M 712201 | Age | 12 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 24 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||