Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07833 | Date 04/09/2024 |
| Token No | SM/24-25/27706 04/09/2024 | Serial | 089 |
| Patient Name | Mr. JAY ROY | Contact No | 9433809411 |
| Address | CHAKLAPARA PRAVASHNAGAR SERAMPORE 712249 | Age | 8 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||