Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04475 | Date 10/07/2023 |
| Token No | SM/25-26/5753 04/08/2025 | Serial | 010 |
| Patient Name | Master AMIT DAS | Contact No | 7596817948 |
| Address | 72A/3 D N BHATTACHARYA SARANI SERAMPORE 712249 | Age | 4 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 9 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||