Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07430 | Date 11/07/2024 |
| Token No | SM/24-25/25069 18/07/2024 | Serial | 023 |
| Patient Name | Mr. SAMARPEET PAL | Contact No | 8777071698 |
| Address | 43/46K PRAVASHNAGAR SERAMPORE 712249 | Age | 18 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 90 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||