Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04441 | Date 05/07/2023 |
| Token No | SM/22-23/12826 08/09/2023 | Serial | 015 |
| Patient Name | Master VIRAT KANDAL | Contact No | 6290616853 |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 4 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 11 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||