Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02291 | Date 21/07/2022 |
| Token No | SM/22-23/2666 12/09/2022 | Serial | 019 |
| Patient Name | Master AYUSHMAN SINGH | Contact No | 7980703674 |
| Address | 13 B B GHOSH ROAD SERAMPORE 712203 | Age | 4 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||