Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05341 | Date 05/10/2023 |
| Token No | SM/22-23/13976 05/10/2023 | Serial | 039 |
| Patient Name | Mr. ADITYA GIRI | Contact No | 7890491336 |
| Address | 165/A NEW MAHESH SERAMPORE 712203 | Age | 11 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 25 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||