Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08026 | Date 15/10/2024 |
| Token No | SM/24-25/29495 15/10/2024 | Serial | 049 |
| Patient Name | Master SHIVANSH DUTTA | Contact No | 7449506638 |
| Address | 65/5 PRAVASHNAGAR SERAMPORE 712249 | Age | 1 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||