Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02305 | Date 25/07/2022 |
| Token No | SM/22-23/20174 23/03/2024 | Serial | 064 |
| Patient Name | Mr. SURYA DAS | Contact No | |
| Address | PRAVASHNAGAR SERAMPORE 712249 | Age | 3 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||