Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02608 | Date 02/09/2022 |
| Token No | SM/24-25/23853 27/06/2024 | Serial | 037 |
| Patient Name | Mr. PRIYANGSHU DIXIT | Contact No | 9126507164 |
| Address | 32 B B GHOSH ROAD SUKANTA PALLY SERAMPORE 712203 | Age | 10 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 24 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||