Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04640 | Date 27/07/2023 |
| Token No | SM/22-23/11062 27/07/2023 | Serial | 046 |
| Patient Name | Master LAB JHA | Contact No | 7890362728 |
| Address | 13/5 SARADA PALLY SERAMPORE 712203 | Age | 1 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||