Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05822 | Date 09/12/2023 |
| Token No | SM/22-23/19060 26/02/2024 | Serial | 033 |
| Patient Name | Mr. ARITRA DEY | Contact No | 7603046671 |
| Address | 34/B/25 B B GHOSH ROAD SUKANTA PALLY SERAMPORE 712203 | Age | 7 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 16 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||