Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 03224 | Date 23/11/2022 |
| Token No | SM/22-23/6122 16/01/2023 | Serial | 013 |
| Patient Name | Master KRISHNA DAS | Contact No | 9330376307 |
| Address | 13 LAL BAHADUR SASTRI ROAD SERAMPORE 712203 | Age | 5 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 10 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||