Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01796 | Date 01/06/2022 |
| Token No | SM/22-23/304 01/06/2022 | Serial | 032 |
| Patient Name | Master SOURAB SAMADDAR | Contact No | 8420707382 |
| Address | 70/C DINEN BHATTACHARYA SARANI PRABASHNAGAR SERAMPORE 712249 | Age | 2 YEAR 5 MONTH Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 12 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||