Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05444 | Date 17/10/2023 |
| Token No | SM/22-23/14458 17/10/2023 | Serial | 001 |
| Patient Name | Master ARITRA DAM | Contact No | 9038716101 |
| Address | 34B/54 B.B GHOSH ROAD SUKANTAPALLY SERAMPORE 712203 | Age | 4 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||