Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03443 | Date 19/12/2022 |
| Token No | SM/22-23/5426 19/12/2022 | Serial | 020 |
| Patient Name | Master RISHU KUMAR | Contact No | 8910116716 |
| Address | TARAPUKUR SERAMPORE 712203 | Age | 3 Y 6 M Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 10 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||