Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05584 | Date 04/11/2023 |
| Token No | SM/24-25/21532 04/05/2024 | Serial | 011 |
| Patient Name | Master AYUSH DAS | Contact No | 6289469455 |
| Address | SOCIETY MATH B B GHOSH ROAD SERAMPORE 712203 | Age | 1 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||