Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04548 | Date 19/07/2023 |
| Token No | SM/22-23/10709 19/07/2023 | Serial | 046 |
| Patient Name | Mr. GOBINDA DAS | Contact No | 9883266218 |
| Address | 65/25/23 JANNAGAR ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 16 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||