Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04013 | Date 06/04/2023 |
| Token No | SM/22-23/8022 06/04/2023 | Serial | 021 |
| Patient Name | Baby MANVI RABIDAS | Contact No | 7044765231 |
| Address | GURU GARDEN ROAD HARIJAN BASTI SERAMPORE 712203 | Age | 5 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||