Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08008 | Date 09/10/2024 |
| Token No | SM/25-26/15438 02/03/2026 | Serial | 014 |
| Patient Name | Mr. VINEET JARIWALA | Contact No | 9831536058 |
| Address | 34/B/64 B B GHOSH ROAD SERAMPORE 712203 | Age | 16 Years,2 Months,29 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||