Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 06047 | Date 09/06/2022 |
| Token No | SM/22-23/3303 09/06/2022 | Serial | 017 |
| Patient Name | Master SHREYANSH CHOWDHURY | Contact No | NOT GIVEN |
| Address | SERAMPORE PANCHU BABUR BAZAR | Age | 3 MONTH Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||