Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04312 | Date 12/06/2023 |
| Token No | SM/22-23/9501 12/06/2023 | Serial | 020 |
| Patient Name | Master ANKUSH BANIK | Contact No | 7003847569 |
| Address | 43/32/D/2 PRABAHNAGAR SERAMPORE 712249 | Age | 5 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||