Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03502 | Date 27/12/2022 |
| Token No | SM/22-23/7453 11/03/2023 | Serial | 015 |
| Patient Name | Master SOUMADEEP DAS | Contact No | 8910120984 |
| Address | 12/A TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 5 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||