Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05089 | Date 08/09/2023 |
| Token No | SM/22-23/12838 08/09/2023 | Serial | 027 |
| Patient Name | Mr. GOPAL PATRA | Contact No | 8697630476 |
| Address | NEW MAHESH SERAMPORE 712203 | Age | 8 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 19 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||