Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 02734 | Date 20/09/2022 |
| Token No | SM/22-23/2878 20/09/2022 | Serial | 030 |
| Patient Name | Mr. SAYAN AROS | Contact No | 9433854870 |
| Address | 12/A SANI PARA LANE MALLICKPARA SERAMPORE 712203 | Age | 8 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||