Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03056 | Date 04/11/2022 |
| Token No | SM/22-23/4062 04/11/2022 | Serial | 026 |
| Patient Name | Mr. RITIKESH GIRI | Contact No | 8910316451 |
| Address | 165/A NEW MAHESH SERAMPORE 712203 | Age | 13 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||