Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05827 | Date 09/12/2023 |
| Token No | SM/22-23/16301 09/12/2023 | Serial | 034 |
| Patient Name | Master RISHANT KUMAR SHAW | Contact No | 9699321065 |
| Address | GHORAMARA SERAMPORE 712203 | Age | 1 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 10 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||