Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00300 | Date 25/10/2019 |
| Token No | SM/22-23/19295 01/03/2024 | Serial | 056 |
| Patient Name | Mr. ANUBHAB BANERJEE | Contact No | 9474401441 |
| Address | 30/3 TARAPUKUR LANE SERAMPORE 712203 | Age | 15 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||