Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02038 | Date 24/06/2022 |
| Token No | SM/22-23/834 24/06/2022 | Serial | 017 |
| Patient Name | Mr. SHIBNATH ROY | Contact No | 9883521058 |
| Address | PRABASHNAGAR SERAMPORE HOOGHLY 712249 | Age | 11 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 20 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||