Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06654 | Date 27/04/2024 |
| Token No | SM/24-25/37140 20/03/2025 | Serial | 023 |
| Patient Name | Mr. SOURAB BERA | Contact No | |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 13 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 29 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||