Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04584 | Date 24/07/2023 |
| Token No | SM/22-23/13155 16/09/2023 | Serial | 005 |
| Patient Name | Mr. PRATIK YADAV | Contact No | 8820272750 |
| Address | 92 NEW MAHESH SERAMPORE 712203 | Age | 6 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 17 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||