Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03604 | Date 13/01/2023 |
| Token No | SM/24-25/25646 27/07/2024 | Serial | 048 |
| Patient Name | Mr. ATANU HALDER | Contact No | 7439050833 |
| Address | 4/A/2/A TARAPUKUR LANE SERAMPORE 712203 | Age | 10 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||