Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05697 | Date 22/11/2023 |
| Token No | SM/22-23/15688 22/11/2023 | Serial | 012 |
| Patient Name | Master SHIVAM HARI | Contact No | 8902206859 |
| Address | B B GHOSH ROAD HARIJAN BASTI SERAMPORE 712203 | Age | 3 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||