Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02670 | Date 09/09/2022 |
| Token No | SM/22-23/2627 09/09/2022 | Serial | 034 |
| Patient Name | Master RAJ DAS | Contact No | 9831672178 |
| Address | B B GHOSH ROAD SERAMPORE 712203 | Age | 2 YEAR 6 MONTH Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||