Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05870 | Date 14/12/2023 |
| Token No | SM/22-23/16526 14/12/2023 | Serial | 035 |
| Patient Name | Master RIYANGSH RABIDAS | Contact No | 9432446142 |
| Address | B B GHOSH ROAD SUKANTA PALLY SERAMPORE 712203 | Age | 1 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||