Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03194 | Date 19/11/2022 |
| Token No | SM/22-23/4565 19/11/2022 | Serial | 010 |
| Patient Name | Master AARUSH DUTTA | Contact No | 6291355453 |
| Address | 65/60/12 PRABASHNAGAR SERAMPORE 712249 | Age | 2 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||