Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04203 | Date 20/05/2023 |
| Token No | SM/24-25/27249 27/08/2024 | Serial | 038 |
| Patient Name | Master SAYAN MAJUMDER | Contact No | 9330534761 |
| Address | 65/25/37 PRABASHNAGAR SERAMPORE 712249 | Age | 4 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||