Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02019 | Date 23/06/2022 |
| Token No | SM/22-23/6663 08/02/2023 | Serial | 030 |
| Patient Name | Mr. ALOK GIRI | Contact No | 9830158486 |
| Address | 209 NEW MAHESH SERAMPORE HOOGHLY 712203 | Age | 9 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||