Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05241 | Date 26/09/2023 |
| Token No | SM/22-23/13739 29/09/2023 | Serial | 036 |
| Patient Name | Mr. AYUSH SRIBASTAB | Contact No | |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 7 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||