Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02841 | Date 30/09/2022 |
| Token No | SM/22-23/3237 30/09/2022 | Serial | 054 |
| Patient Name | Master ARAB PRASAD | Contact No | |
| Address | SARADA PALLY SERAMPORE 712203 | Age | 2 MONTH Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||