Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01088 | Date 27/02/2020 |
| Token No | SM/25-26/11006 25/11/2025 | Serial | 035 |
| Patient Name | Mr. SAGAR MONDAL | Contact No | 6291523180 |
| Address | 68 NEW MAHESH SERAMPORE 712203 | Age | 13 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||