Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07540 | Date 29/07/2024 |
| Token No | SM/24-25/25817 31/07/2024 | Serial | 039 |
| Patient Name | Mr. SUBHASH BHUIYA | Contact No | 9903353699 |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 12 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||