Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07722 | Date 22/08/2024 |
| Token No | SM/24-25/27008 22/08/2024 | Serial | 012 |
| Patient Name | Mr. TATAN ADHIKARI | Contact No | |
| Address | 55A/27 PRABASHNAGAR SERAMPORE 712249 | Age | 7 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||