Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 07886 | Date 11/09/2024 |
| Token No | SM/24-25/28065 11/09/2024 | Serial | 021 |
| Patient Name | Mr. ADITYA SHAW | Contact No | 9062446652 |
| Address | 30/29 TARAPUKUR COLONY MALLICKPARA SERAMPORE 712203 | Age | 6 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||