Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04620 | Date 26/07/2023 |
| Token No | SM/22-23/15602 17/11/2023 | Serial | 035 |
| Patient Name | Master AVIJIT BHUIYA | Contact No | 9875317997 |
| Address | 239 NEW MAHESH SERAMPORE 712203 | Age | 4 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 9 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||