Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04406 | Date 01/07/2023 |
| Token No | SM/22-23/10049 01/07/2023 | Serial | 023 |
| Patient Name | Mr. PRASENJIT DAS | Contact No | 9163506619 |
| Address | PRABASHNAGAR SERAMPORE 712249 | Age | 13 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 34 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||