Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06931 | Date 04/06/2024 |
| Token No | SM/24-25/27248 27/08/2024 | Serial | 037 |
| Patient Name | Mr. ARITRA DUTTA | Contact No | 9062335067 |
| Address | 55/A/1/A M J ROAD PRABASHNAGAR SERAMPORE 712203 | Age | 7 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||