Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04019 | Date 06/04/2023 |
| Token No | SM/22-23/11489 08/08/2023 | Serial | 010 |
| Patient Name | Mr. AKASH BEHERA | Contact No | 7605837678 |
| Address | D N BHATTACHARJEE LANE MALLICKPARA SERAMPORE 712203 | Age | 10 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 20 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||