Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03865 | Date 03/03/2023 |
| Token No | SM/25-26/3857 23/06/2025 | Serial | 016 |
| Patient Name | Mr. SABUJ DUTTA | Contact No | 8013734819 |
| Address | 11/G/1 D N BHATTACHARYA SARANI SERAMPORE 712249 | Age | 14 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||