Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07709 | Date 20/08/2024 |
| Token No | SM/25-26/4899 17/07/2025 | Serial | 076 |
| Patient Name | Mr. AVIK DEBNATH | Contact No | 9874887637 |
| Address | 57/A NEW MAHESH SERAMPORE 712203 | Age | 7 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||