Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 02507 | Date 22/08/2022 |
| Token No | SM/22-23/2166 22/08/2022 | Serial | 020 |
| Patient Name | Master PRANAY HALDER | Contact No | 9062929983 |
| Address | 11A TARAPUKUR LANE SERAMPORE 712203 | Age | 5 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 19 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||