Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02093 | Date 29/06/2022 |
| Token No | SM/22-23/979 29/06/2022 | Serial | 029 |
| Patient Name | Mr. LOKNATH CHOWDHURY | Contact No | 9748513823 |
| Address | 38/B B B GHOSH ROAD PRABASHNAGAR SERAMPORE 712203 | Age | 14 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||