Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03530 | Date 29/12/2022 |
| Token No | SM/22-23/5746 29/12/2022 | Serial | 017 |
| Patient Name | Mr. ANIKET GIRI | Contact No | 7890491336 |
| Address | 165/1 NEW MAHESH SERAMPORE 712203 | Age | 15 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 36 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||