Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04749 | Date 08/08/2023 |
| Token No | SM/24-25/22771 06/06/2024 | Serial | 011 |
| Patient Name | Master SHUBAM GIRI | Contact No | 8100650887 |
| Address | 190 NEW MAHESH SERAMPORE 712203 | Age | 3 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 10 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||