Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02357 | Date 01/08/2022 |
| Token No | SM/22-23/5684 28/12/2022 | Serial | 002 |
| Patient Name | Mr. ANSH SINGH | Contact No | 9432661135 |
| Address | PRABASHNAGAR SERAMPORE 712249 | Age | 13 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||