Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05134 | Date 13/09/2023 |
| Token No | SM/24-25/34657 25/01/2025 | Serial | 032 |
| Patient Name | Mr. ADITYA KUMAR DAS | Contact No | 7980193651 |
| Address | 24A/2/B GURU GARDEN ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 12 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||