Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05213 | Date 22/09/2023 |
| Token No | SM/24-25/25793 31/07/2024 | Serial | 015 |
| Patient Name | Mr. DEEP DAS | Contact No | 6291861631 |
| Address | 9 NEW MAHESH SERAMPORE 712203 | Age | 10 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 17 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||