Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 08246 | Date 21/11/2024 |
| Token No | SM/24-25/31536 21/11/2024 | Serial | 027 |
| Patient Name | Mr. ANIKAIT MALLCIK | Contact No | 9433328408 |
| Address | 6/X TARAPUKUR GOVT COLONY MALLICKPARA SERAMPORE 712203 | Age | 9 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||