Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05999 | Date 04/01/2024 |
| Token No | SM/24-25/27720 05/09/2024 | Serial | 004 |
| Patient Name | Mr. RIK DAS | Contact No | 9883665354 |
| Address | 34/B/39 B B GHOSH ROAD SERAMPORE 712203 | Age | 10 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 21 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||