Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06401 | Date 11/03/2024 |
| Token No | SM/22-23/19658 11/03/2024 | Serial | 012 |
| Patient Name | Mr. DEB KUMAR DAS | Contact No | 6291701296 |
| Address | SOCIETY MATH B B GHOSH ROAD SERAMPORE 712203 | Age | 16 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 25 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||