Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 00835 | Date 01/02/2020 |
| Token No | SM/22-23/5315 15/12/2022 | Serial | 005 |
| Patient Name | Master SUBHANKAR KANTI | Contact No | 9088993394 |
| Address | 9A TARAPUKUR LANE SERAMPORE 712203 | Age | 6 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||