Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04709 | Date 04/08/2023 |
| Token No | SM/22-23/18158 05/02/2024 | Serial | 015 |
| Patient Name | Mr. SOUMICK GHORUI | Contact No | 7449452031 |
| Address | 38/C B B GHOSH ROAD SERAMPORE M 712203 | Age | 10 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 19 KG |
| Pulse Rate | / min | Height | 118CM cm |
| Diagnosis | |||