Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03478 | Date 23/12/2022 |
| Token No | SM/24-25/33188 24/12/2024 | Serial | 025 |
| Patient Name | Mr. ANASH DOLUI | Contact No | 8583023473 |
| Address | 380 B B GHOSH ROAD MALLICKPARA SERAMPORE 712203 | Age | 9 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 19 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||