Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 05330 | Date 04/10/2023 |
| Token No | SM/25-26/1303 28/04/2025 | Serial | 047 |
| Patient Name | Mr. SOHAN MAL | Contact No | 9088251657 |
| Address | 12 LENIN SARANI SERAMPORE 712203 | Age | 19 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||