Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07391 | Date 08/07/2024 |
| Token No | SM/24-25/24645 08/07/2024 | Serial | 039 |
| Patient Name | Mr. SANU SHAW | Contact No | 8777012409 |
| Address | 97/F/1 GURU GARDEN ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 25 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||