Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01136 | Date 06/03/2020 |
| Token No | SM/22-23/19444 05/03/2024 | Serial | 027 |
| Patient Name | Mr. AYUSH SHARMA | Contact No | 7890284127 |
| Address | 34B/11 B B GHOSH ROAD SERAMPORE 712203 | Age | 14 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||