Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 05050 | Date 04/09/2023 |
| Token No | SM/22-23/12691 04/09/2023 | Serial | 041 |
| Patient Name | Master AYON KUMAR | Contact No | 7044765421 |
| Address | 2/32 SERAMPORE 2 NO COLONY SERAMPORE 712203 | Age | 1 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||