Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03350 | Date 08/12/2022 |
| Token No | SM/22-23/5417 19/12/2022 | Serial | 011 |
| Patient Name | Master AARAU BHARTI | Contact No | 9836853407 |
| Address | 157/A NEW MAHESH SERAMPORE 712203 | Age | 3 Y 6 M Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 11 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||