Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04542 | Date 19/07/2023 |
| Token No | SM/22-23/10696 19/07/2023 | Serial | 033 |
| Patient Name | Mr. ANIK SARKAR | Contact No | 8584963932 |
| Address | 16/A/5 PRABASHNAGAR SERAMPORE 712203 | Age | 8 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||