Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04772 | Date 10/08/2023 |
| Token No | SM/22-23/17574 18/01/2024 | Serial | 010 |
| Patient Name | Mr. DEBABBRITO NAG | Contact No | 9038902662 |
| Address | 30/66 TARAPUKUR LANE SERAMPORE M 712203 | Age | 14 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||