Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 02212 | Date 13/07/2022 |
| Token No | SM/22-23/1282 13/07/2022 | Serial | 036 |
| Patient Name | Master SAOYAN MANNA | Contact No | 8274090439 |
| Address | 5Y TARAPUKUR GOVT QUARTER MALLICKPARA SERAMPORE 712203 | Age | 2 MONTH Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 6 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||