Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06840 | Date 23/05/2024 |
| Token No | SM/24-25/22217 23/05/2024 | Serial | 041 |
| Patient Name | Mr. DIPAK | Contact No | 8076523079 |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 12 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 36 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||