Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 02210 | Date 13/07/2022 |
| Token No | SM/22-23/1275 13/07/2022 | Serial | 029 |
| Patient Name | Master ADITYA CHOWDHURY | Contact No | 8013551710 |
| Address | 56 NO RAILAND ROAD SERAMPORE 712201 | Age | 4 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 13 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||