Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05602 | Date 06/11/2023 |
| Token No | SM/22-23/15210 06/11/2023 | Serial | 051 |
| Patient Name | Mr. RISHI MAHATO | Contact No | 9163448340 |
| Address | MAA SARADA PALLY SERAMPORE 712203 | Age | 7 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 16 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||