Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04020 | Date 06/04/2023 |
| Token No | SM/22-23/8029 06/04/2023 | Serial | 028 |
| Patient Name | Mr. SOURAV BEHERA | Contact No | 7605837678 |
| Address | D N BHATTACHARJEE LANE MALLICKPARA SERAMPORE 712203 | Age | 11 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||