Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 07627 | Date 09/08/2024 |
| Token No | SM/24-25/26343 09/08/2024 | Serial | 043 |
| Patient Name | Mr. ABIR DAS | Contact No | 9239441178 |
| Address | 138 RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 13 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||