Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05418 | Date 12/10/2023 |
| Token No | SM/25-26/4607 12/07/2025 | Serial | 028 |
| Patient Name | Mr. AYUSH CHOWDHURY | Contact No | 7685001786 |
| Address | 192 NEW MAHESH SERAMPORE 712203 | Age | 13 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 24 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||