Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06975 | Date 11/06/2024 |
| Token No | SM/24-25/34227 16/01/2025 | Serial | 067 |
| Patient Name | Mr. ANIKET MANDAL | Contact No | 9958922043 |
| Address | FLAT-2D BUILDING-5 1 D CRUZE GARDEN LANE SERAMPORE 712203 | Age | 17 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||