Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04971 | Date 28/08/2023 |
| Token No | SM/22-23/12400 28/08/2023 | Serial | 002 |
| Patient Name | Mr. PRITAM MITRA | Contact No | 9748842157 |
| Address | A/9/X TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 15 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||