Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07740 | Date 24/08/2024 |
| Token No | SM/24-25/27178 24/08/2024 | Serial | 036 |
| Patient Name | Mr. RIJU SANDAKI | Contact No | 9073572198 |
| Address | 65/25/10/A WEST JANNAGAR ROAD SERAMPORE 712249 | Age | 14 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||