Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03490 | Date 24/12/2022 |
| Token No | SM/22-23/5609 24/12/2022 | Serial | 010 |
| Patient Name | Master RONAK BHONIYA | Contact No | 7003553412 |
| Address | B B GHOSH ROAD SERAMPORE 712203 | Age | 4 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 14 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||