Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02724 | Date 19/09/2022 |
| Token No | SM/22-23/2840 19/09/2022 | Serial | 026 |
| Patient Name | Mr. ABHOY SAROJ | Contact No | 9123912411 |
| Address | NEW MAHESH SERAMPORE 712203 | Age | 8 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 20 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||