Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08695 | Date 08/02/2025 |
| Token No | SM/24-25/35414 08/02/2025 | Serial | 051 |
| Patient Name | Mr. ANIKET SHAW | Contact No | 9903779339 |
| Address | 220 NEW MAHESH SERAMPORE 712203 | Age | 12 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||