Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 02508 | Date 22/08/2022 |
| Token No | SM/22-23/2167 22/08/2022 | Serial | 021 |
| Patient Name | Master PRIYANGSHU HALDER | Contact No | 9062929983 |
| Address | 12/A TARAPUKUR COLONY MALLICKPARA SERAMPORE 712203 | Age | 3 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 9 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||