Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02001 | Date 22/06/2022 |
| Token No | SM/22-23/18495 10/02/2024 | Serial | 056 |
| Patient Name | Master SRIJIT DAS | Contact No | 9681411976 |
| Address | 10A DINEN BHATTACHARYA SARANI PRABASHNAGAR SERAMPORE 712249 | Age | 2 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 15 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||