Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01184 | Date 16/03/2020 |
| Token No | SM/22-23/14756 27/10/2023 | Serial | 028 |
| Patient Name | Mr. SUBHADEEP DAS | Contact No | |
| Address | SERAMPORE | Age | 4 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||