Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02426 | Date 10/08/2022 |
| Token No | SM/22-23/6095 14/01/2023 | Serial | 012 |
| Patient Name | Mr. ASHUTOSH KUMAR GIRI | Contact No | 9831575436 |
| Address | 190 NEW MAHESH SERAMPORE 712203 | Age | 11 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 26 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||