Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02278 | Date 20/07/2022 |
| Token No | SM/22-23/12590 01/09/2023 | Serial | 033 |
| Patient Name | Mr. KRISHNA KUMAR | Contact No | 9088454993 |
| Address | 164 NEW MAHESH SERAMPORE 712203 | Age | 14 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 31 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||