Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06966 | Date 10/06/2024 |
| Token No | SM/24-25/22990 10/06/2024 | Serial | 062 |
| Patient Name | Mr. PREM RAJ | Contact No | 8420094651 |
| Address | 65/19/13 WEST JANNAGAR ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 31 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 86 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||