Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 00915 | Date 10/02/2020 |
| Token No | SM/22-23/5578 23/12/2022 | Serial | 015 |
| Patient Name | Mr. SUBHOJIT NAG | Contact No | 7449911910 |
| Address | 30/66 TARAPUKUR COLONY SERAMPORE 712203 | Age | 17 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||