Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05716 | Date 23/11/2023 |
| Token No | SM/22-23/15760 23/11/2023 | Serial | 042 |
| Patient Name | Mr. JOYJIT SAHA | Contact No | 9088340499 |
| Address | 9/371/A B B GHOSH ROAD SERAMPORE 712203 | Age | 9 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||