Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 03141 | Date 14/11/2022 |
| Token No | SM/22-23/4401 14/11/2022 | Serial | 033 |
| Patient Name | Master SEKH ARMAN | Contact No | 9330286088 |
| Address | 29/A MIYAJAN DARJI LANE MALLICKPARA SERAMPORE 712203 | Age | 5 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 16 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||