Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08957 | Date 24/03/2025 |
| Token No | SM/24-25/37370 24/03/2025 | Serial | 076 |
| Patient Name | Mr. SAGAR KUMAR SHAW | Contact No | 8240064473 |
| Address | 37 NEW MAHESH SERAMPORE 712203 | Age | 19 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||