Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 05130 | Date 12/09/2023 |
| Token No | SM/22-23/14631 19/10/2023 | Serial | 051 |
| Patient Name | Master NILANGSHU PAL | Contact No | 8100027409 |
| Address | 10/A/1 TARAPUKUR LANE SERAMPORE 712203 | Age | 2 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||