Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 05753 | Date 23/04/2022 |
| Token No | SM/22-23/2802 23/04/2022 | Serial | 002 |
| Patient Name | Master SAPTANGSHU MUKHERJEE | Contact No | 9432098279 |
| Address | 14E/1 SATISH CHANDRA GHOSH LANE, MAHESH, SERAMPORE | Age | 3 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||