Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03774 | Date 16/02/2023 |
| Token No | SM/22-23/14970 01/11/2023 | Serial | 052 |
| Patient Name | Master ANIKET GIRI | Contact No | 9681857681 |
| Address | 190 NEW MAHESH SERAMPORE 712203 | Age | 4 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 11 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||