Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08647 | Date 31/01/2025 |
| Token No | SM/24-25/34977 31/01/2025 | Serial | 056 |
| Patient Name | Mr. SAYAN DEY | Contact No | 8420554202 |
| Address | 25 D N BHATTACHARYA SARANI PRAVASHNAGAR SERAMPORE 712249 | Age | 15 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||