Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03431 | Date 17/12/2022 |
| Token No | SM/22-23/5398 17/12/2022 | Serial | 031 |
| Patient Name | Mr. ADITYA KUMAR SAH | Contact No | 8013508655 |
| Address | 13/62 B B GHOSH ROAD SERAMPORE 712203 | Age | 14 Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||