Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05231 | Date 25/09/2023 |
| Token No | SM/22-23/13500 25/09/2023 | Serial | 013 |
| Patient Name | Mr. ABHIJIT MALLICK | Contact No | 9836328932 |
| Address | 9 B B GHOSH ROAD SERAMPORE 712203 | Age | 17 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||