Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04071 | Date 21/04/2023 |
| Token No | SM/22-23/8323 21/04/2023 | Serial | 007 |
| Patient Name | Master SOUMYAJIT DHARA | Contact No | 9836680565 |
| Address | 100 NEW MAHESH SERAMPORE 712203 | Age | 1 Y 7 M Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||