Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 01855 | Date 08/06/2022 |
| Token No | SM/22-23/428 08/06/2022 | Serial | 042 |
| Patient Name | Mr. ARITRO BANERJEE | Contact No | 7595883639 |
| Address | 83X TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 10 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||