Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02144 | Date 04/07/2022 |
| Token No | SM/22-23/1940 10/08/2022 | Serial | 038 |
| Patient Name | Master SUBHAM RAJBHAR | Contact No | 7980505108 |
| Address | PRABASHNAGAR HINDI SCHOOL SERAMPORE 712249 | Age | 1 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||