Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04417 | Date 03/07/2023 |
| Token No | SM/22-23/10093 03/07/2023 | Serial | 036 |
| Patient Name | Master AYANSH JHA | Contact No | 7836865968 |
| Address | 9/A/1 TARAPUKUR LANE SERAMPORE 712203 | Age | 1 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||