Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01605 | Date 20/05/2022 |
| Token No | SM/22-23/18 20/05/2022 | Serial | 016 |
| Patient Name | Mr. ADITYA THAKUR | Contact No | 7595054193 |
| Address | 13/29 B B GHOSH ROAD SARADA PALLY SERAMPORE 712203 | Age | 12 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 24 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||