Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07870 | Date 07/09/2024 |
| Token No | SM/24-25/27943 09/09/2024 | Serial | 039 |
| Patient Name | Mr. SAYAN ADHIKARY | Contact No | 9903688591 |
| Address | 55A/27 GURU GARDEN ROAD SERAMPORE 712249 | Age | 8 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||