Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07110 | Date 24/06/2024 |
| Token No | SM/24-25/23637 24/06/2024 | Serial | 061 |
| Patient Name | Baby SREESTI NAYEK | Contact No | 9748136605 |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 1 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||