Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07447 | Date 16/07/2024 |
| Token No | SM/24-25/25011 16/07/2024 | Serial | 012 |
| Patient Name | Mr. PRITISH DAS | Contact No | 9088523055 |
| Address | NEW MAHESH SERAMPORE 712203 | Age | 8 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||