Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04907 | Date 22/08/2023 |
| Token No | SM/22-23/12149 22/08/2023 | Serial | 017 |
| Patient Name | Mr. NAYAN GAYEN | Contact No | 9883606635 |
| Address | 13/54 B B GHOSH ROAD SERAMPORE M 712203 | Age | 14 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||