Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04948 | Date 25/08/2023 |
| Token No | SM/22-23/12309 25/08/2023 | Serial | 004 |
| Patient Name | Mr. AMAN MALLICK | Contact No | 8961671771 |
| Address | 92X TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 8 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 23 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||