Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05954 | Date 27/12/2023 |
| Token No | SM/22-23/16957 27/12/2023 | Serial | 046 |
| Patient Name | Master SUBRANATH DALAPATI | Contact No | 9874363154 |
| Address | 37/1 GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 1 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||