Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03249 | Date 25/11/2022 |
| Token No | SM/22-23/4723 25/11/2022 | Serial | 010 |
| Patient Name | Mr. RABI DAS | Contact No | 9073116568 |
| Address | SOCIETY MATH B B GHOSH ROAD SERAMPORE 712203 | Age | 8 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 20 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||