Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08468 | Date 27/12/2024 |
| Token No | SM/25-26/1181 25/04/2025 | Serial | 014 |
| Patient Name | Mr. BISWARUP MIDYA | Contact No | 7003711047 |
| Address | 6 NEW MAHESH SERAMPORE 712203 | Age | 8 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||