Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03605 | Date 14/01/2023 |
| Token No | SM/22-23/11766 12/08/2023 | Serial | 017 |
| Patient Name | Mr. SPORSHO SARKAR | Contact No | 9330143994 |
| Address | 121 RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 8 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 30 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||