Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 07667 | Date 13/08/2024 |
| Token No | SM/24-25/26584 13/08/2024 | Serial | 044 |
| Patient Name | Mr. ARITRA BANERJEE | Contact No | |
| Address | B/95/Y TARAPUKUR GOVT QUARTER MALLICKPARA SERAMPORE 712203 | Age | 14 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||