Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 02254 | Date 18/07/2022 |
| Token No | SM/22-23/1411 18/07/2022 | Serial | 034 |
| Patient Name | Master SOUMADEEP DAS | Contact No | 8910120984 |
| Address | 12/A TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 2 YEAR 8 MONTH Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 13 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||