Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00464 | Date 26/11/2019 |
| Token No | SM/19-20/877 26/11/2019 | Serial | 017 |
| Patient Name | Mr. AJAY BHUIYA | Contact No | 8274034812 |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 14 YRS Male |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||