Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07904 | Date 18/09/2024 |
| Token No | SM/24-25/28308 18/09/2024 | Serial | 010 |
| Patient Name | Mr. BABLU KUMAR RAJBHAR | Contact No | 6290000832 |
| Address | 122 PRAVASHNAGAR SERAMPORE 712249 | Age | 22 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||