Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02874 | Date 13/10/2022 |
| Token No | SM/24-25/32177 03/12/2024 | Serial | 019 |
| Patient Name | Mr. GOUTAM BHUIYA | Contact No | 6291318584 |
| Address | 9/42 D N BHATTACHARYA SARANI SERAMPORE 712203 | Age | 17 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||