Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08379 | Date 10/12/2024 |
| Token No | SM/24-25/34601 24/01/2025 | Serial | 014 |
| Patient Name | Master RAWNAK CHOUDHURY | Contact No | 7003263248 |
| Address | 105 NEW MAHESH SERAMPORE 712203 | Age | 4 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||