Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 01988 | Date 22/06/2022 |
| Token No | SM/22-23/707 22/06/2022 | Serial | 007 |
| Patient Name | Mr. ANKIT CHOWDHURY | Contact No | 8013551710 |
| Address | ROYLAND ROAD SERAMPORE | Age | 12 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 29 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||