Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00436 | Date 23/11/2019 |
| Token No | SM/19-20/811 23/11/2019 | Serial | 032 |
| Patient Name | Mr. AAYAN DATTA | Contact No | 7003558020 |
| Address | 26/B PROVASNAGER SERAMPORE 712249 | Age | 9 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||