Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05994 | Date 03/01/2024 |
| Token No | SM/22-23/17141 03/01/2024 | Serial | 013 |
| Patient Name | Mr. SUBHAJIT TARAFDAR | Contact No | 9007780144 |
| Address | 65/25/25/A PRAVASHNAGAR SERAMPORE 712249 | Age | 16 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 30 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||