Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03454 | Date 20/12/2022 |
| Token No | SM/22-23/5464 20/12/2022 | Serial | 010 |
| Patient Name | Mr. ABHINASH BHUIYA | Contact No | |
| Address | MINIUS QUARTER B B GHSOH ROAD SERAMPORE 712203 | Age | 13 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||