Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04719 | Date 04/08/2023 |
| Token No | SM/22-23/15500 14/11/2023 | Serial | 020 |
| Patient Name | Master VANSH SINGH | Contact No | 9051748182 |
| Address | 13 B B GHOSH ROAD SERAMPORE 712203 | Age | 2 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||