Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03151 | Date 16/11/2022 |
| Token No | SM/22-23/4448 16/11/2022 | Serial | 017 |
| Patient Name | Mr. NISHANTA MYATHU ISHAI | Contact No | 7278235586 |
| Address | 35/Y TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 14 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||