Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02732 | Date 20/09/2022 |
| Token No | SM/22-23/11528 08/08/2023 | Serial | 049 |
| Patient Name | Mr. ADRIJ MUKHERJEE | Contact No | 9330512260 |
| Address | 65/22/3 PRABASHNAGAR SERAMPORE 712249 | Age | 9 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 15 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||