Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03397 | Date 14/12/2022 |
| Token No | SM/22-23/9198 30/05/2023 | Serial | 017 |
| Patient Name | Master DEB MALLICK | Contact No | 8420467991 |
| Address | 92/X TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 3 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||