Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06125 | Date 29/01/2024 |
| Token No | SM/22-23/17910 29/01/2024 | Serial | 074 |
| Patient Name | Master SURYA DAS | Contact No | 9046689030 |
| Address | 206/A NEW MAHESH SERAMPORE 712203 | Age | 1 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||