Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01632 | Date 23/05/2022 |
| Token No | SM/22-23/54 23/05/2022 | Serial | 023 |
| Patient Name | Mr. NITI SHAW | Contact No | 8478819210 |
| Address | 6 NO HUMAR PATTY LANE SERAMPORE | Age | 7 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 18 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||