Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03831 | Date 24/02/2023 |
| Token No | SM/22-23/7047 24/02/2023 | Serial | 017 |
| Patient Name | Mr. ABHISEK SHAW | Contact No | 7439600253 |
| Address | 65/25/9 M J ROAD JHILPAR CHAKLAPARA SERAMPORE 712249 | Age | 14 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 20 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||