Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02306 | Date 25/07/2022 |
| Token No | SM/24-25/31896 27/11/2024 | Serial | 045 |
| Patient Name | Master PRATYUSH DAS | Contact No | 9804484583 |
| Address | 11/E B B GHOSH ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 4 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 12 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||