Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03130 | Date 12/11/2022 |
| Token No | SM/22-23/4355 12/11/2022 | Serial | 011 |
| Patient Name | Master SHIVAM GIRI | Contact No | 8442951173 |
| Address | 165 NEW MAHESH SERAMPORE 712203 | Age | 1 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 9 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||