Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06249 | Date 10/02/2024 |
| Token No | SM/22-23/18493 10/02/2024 | Serial | 054 |
| Patient Name | Master SAMLAN DAS | Contact No | 8509288623 |
| Address | 13/33 B B GHOSH ROAD SERAMPORE 712203 | Age | 3 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 11 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||