Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02095 | Date 29/06/2022 |
| Token No | SM/22-23/9366 08/06/2023 | Serial | 007 |
| Patient Name | Mr. RANAJOY CHOUDHURY | Contact No | 7439573542 |
| Address | 38F B B GHOSH ROAD SERAMPORE 712203 | Age | 13 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 20 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||