Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01771 | Date 30/05/2022 |
| Token No | SM/22-23/258 30/05/2022 | Serial | 056 |
| Patient Name | Master SHIBAM RAJBHAR | Contact No | |
| Address | NAYA BASTI SERAMPORE 712249 | Age | 9 MONTH Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 6 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||