Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08186 | Date 11/11/2024 |
| Token No | SM/24-25/30927 11/11/2024 | Serial | 072 |
| Patient Name | Mr. SUBOJIT DEY | Contact No | 9007824945 |
| Address | 65/5 PRAVASHNAGAR SERAMPORE 712249 | Age | 11 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||