Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04879 | Date 19/08/2023 |
| Token No | SM/22-23/18620 15/02/2024 | Serial | 012 |
| Patient Name | Mr. KRISHAN PRASAD SHAW | Contact No | 9748082368 |
| Address | 13/86 B B GHOSH ROAD SERAMPORE 712203 | Age | 12 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 25 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||