Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 03274 | Date 28/11/2022 |
| Token No | SM/24-25/23186 15/06/2024 | Serial | 020 |
| Patient Name | Master BADAL ROY | Contact No | 8961941308 |
| Address | 10/B HARIPARA 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 | |||