Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05955 | Date 27/12/2023 |
| Token No | SM/24-25/29816 21/10/2024 | Serial | 123 |
| Patient Name | Master ARNAB DAS | Contact No | 9330534652 |
| Address | 20/4/1 PRAVASHNAGAR SERAMPORE 712249 | Age | 1 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||