Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05327 | Date 04/10/2023 |
| Token No | SM/22-23/13966 05/10/2023 | Serial | 029 |
| Patient Name | Mr. SIBA BAULDAS | Contact No | 7811859028 |
| Address | D CRUZE GARDEN LANE SERAMPORE 712203 | Age | 16 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||