Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03119 | Date 11/11/2022 |
| Token No | SM/22-23/5832 02/01/2023 | Serial | 013 |
| Patient Name | Master ABHINAB BHARTI | Contact No | 7036655215 |
| Address | 190 NEW MAHESH MALLICKPARA SERAMPORE 712203 | Age | 5 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||