Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04941 | Date 24/08/2023 |
| Token No | SM/22-23/12284 24/08/2023 | Serial | 039 |
| Patient Name | Mr. AYAN SARKAR | Contact No | 9143158657 |
| Address | 65/2549 WEST JANNAGAR ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 14 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||