Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05409 | Date 11/10/2023 |
| Token No | SM/22-23/14280 11/10/2023 | Serial | 052 |
| Patient Name | Master SAKSYA DAS | Contact No | 7001146199 |
| Address | 43/27/A/10 PRAVASHNAGAR SERAMPORE 712249 | Age | 1 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||