Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04619 | Date 26/07/2023 |
| Token No | SM/22-23/10983 26/07/2023 | Serial | 027 |
| Patient Name | Master ISHAN DAS | Contact No | 7890271379 |
| Address | SOCIETY MATH B B GHOSH ROAD SERAMPORE 712203 | Age | 1 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||