Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 06207 | Date 08/02/2024 |
| Token No | SM/24-25/28895 28/09/2024 | Serial | 052 |
| Patient Name | Mr. PRIYANGSHU CHOWDHURY | Contact No | 9830844995 |
| Address | 36/X TARAPUKUR GOVT QUARTER MALLICKPARA SERAMPORE 712203 | Age | 11 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 26 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||