Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06178 | Date 05/02/2024 |
| Token No | SM/22-23/18160 05/02/2024 | Serial | 017 |
| Patient Name | Mr. ROUNAK HALDER | Contact No | 6291748203 |
| Address | BL-B FL-4C D CRUZE GARDEN LANE SERAMPORE 712203 | Age | 14 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||