Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04675 | Date 01/08/2023 |
| Token No | SM/22-23/11188 01/08/2023 | Serial | 029 |
| Patient Name | Mr. SUBHOJIT DAS | Contact No | 6291317355 |
| Address | 1/B D N BHATTACHARYA SARANI PRABASHNAGAR SERAMPORE 712249 | Age | 15 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||