Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 02206 | Date 13/07/2022 |
| Token No | SM/22-23/1267 13/07/2022 | Serial | 021 |
| Patient Name | Mr. ARITRA PAL | Contact No | 8100235278 |
| Address | 171 2 NO RAJYADHARPUR GOVT COLONY MALLICKPARA SERAMPORE 712203 | Age | 15 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||