Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04478 | Date 10/07/2023 |
| Token No | SM/22-23/12513 29/08/2023 | Serial | 048 |
| Patient Name | Baby KRISHNA SINGH | Contact No | 7044017187 |
| Address | 45/A/1 PRABASHNAGAR SERAMPORE 712249 | Age | 3 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||