Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04182 | Date 15/05/2023 |
| Token No | SM/22-23/10950 25/07/2023 | Serial | 064 |
| Patient Name | Master KARTIKEYA BERMA | Contact No | 8981239759 |
| Address | 153 NEW MAHESH SERAMPORE 712203 | Age | 3 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||