Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06573 | Date 16/04/2024 |
| Token No | SM/24-25/20784 16/04/2024 | Serial | 017 |
| Patient Name | Mr. PREM JHA | Contact No | 6291043069 |
| Address | 13/58 B B GHOSH ROAD MALLICKPARA SERAMPORE 712203 | Age | 21 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||