Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 04434 | Date 05/07/2023 |
| Token No | SM/22-23/10187 05/07/2023 | Serial | 006 |
| Patient Name | Master AYUSH KUMAR SAH | Contact No | 8481047538 |
| Address | 10/B HARIPARA LANE SERAMPORE M 712203 | Age | 5 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||