Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02990 | Date 28/10/2022 |
| Token No | SM/22-23/3801 28/10/2022 | Serial | 021 |
| Patient Name | Mr. AYUSH GIRI | Contact No | 9903014208 |
| Address | 190NEW MAHESH SERAMPORE 712203 | Age | 11 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 31 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||