Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08156 | Date 05/11/2024 |
| Token No | SM/24-25/31553 21/11/2024 | Serial | 044 |
| Patient Name | Mr. VAIBHAV SHARMA | Contact No | 9748867480 |
| Address | 34/B/12 B B GHOSH ROAD SERAMPORE 712203 | Age | 12 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||