Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04954 | Date 25/08/2023 |
| Token No | SM/22-23/17538 17/01/2024 | Serial | 023 |
| Patient Name | Mr. PRANTIK BHOWMICK | Contact No | 8981116035 |
| Address | 17/B SERAMPORE 2 NO COLONY SERAMPORE 712203 | Age | 7 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 15 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||