Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02749 | Date 22/09/2022 |
| Token No | SM/22-23/2924 22/09/2022 | Serial | 013 |
| Patient Name | Master YUBRAJ GIRI | Contact No | 6289967944 |
| Address | 266 NEW MAHESH SERAMPORE 712203 | Age | 2 MONTH Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||