Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03351 | Date 08/12/2022 |
| Token No | SM/22-23/5101 08/12/2022 | Serial | 027 |
| Patient Name | Mr. ROBIN KUMAR BHARATI | Contact No | 9836853407 |
| Address | 157/A NEW MAHESH SERAMPORE 712203 | Age | 11 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||