Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02714 | Date 16/09/2022 |
| Token No | SM/22-23/2807 16/09/2022 | Serial | 026 |
| Patient Name | Master DEEPNARAYAN DAS | Contact No | 9804420801 |
| Address | 75 NEW MAESH SERAMPORE 712203 | Age | 10 MONTH Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 9 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||