Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 05668 | Date 16/11/2023 |
| Token No | SM/24-25/31258 16/11/2024 | Serial | 049 |
| Patient Name | Mr. PRIYANGSHU NAYAK | Contact No | 9163794529 |
| Address | 22/B/2/I MALLICKPARA SERAMPORE 712203 | Age | 9 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 20 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||