Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03399 | Date 14/12/2022 |
| Token No | SM/22-23/5529 21/12/2022 | Serial | 043 |
| Patient Name | Master SAYAN MAJUMDAR | Contact No | 9330585440 |
| Address | 65/25/37 PRABASHNAGAR SERAMPORE 712249 | Age | 2 Y 6 M Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||