Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03412 | Date 15/12/2022 |
| Token No | SM/24-25/32280 05/12/2024 | Serial | 011 |
| Patient Name | Mr. AAYUSH GIRI | Contact No | 8981373022 |
| Address | 190 NEW MAHESH SERAMPORE 712203 | Age | 14 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||