Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04988 | Date 28/08/2023 |
| Token No | SM/22-23/12455 28/08/2023 | Serial | 057 |
| Patient Name | Baby NIKIYA DAS | Contact No | 7980633488 |
| Address | 9 NEW MAHESH SERAMPORE 712203 | Age | 4 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 15 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||