Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03628 | Date 20/01/2023 |
| Token No | SM/22-23/13032 12/09/2023 | Serial | 056 |
| Patient Name | Master SUBHAM ROY | Contact No | 8240208541 |
| Address | 83 RAJYADHARPUR 1NO GOVT COLONY SERAMPORE 712203 | Age | 2 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 13 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||