Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04063 | Date 18/04/2023 |
| Token No | SM/22-23/18482 10/02/2024 | Serial | 043 |
| Patient Name | Mr. DEB SHAW | Contact No | 9007152388 |
| Address | 155 NEW MAHESH SERAMPORE 712203 | Age | 9 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 28 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||