Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04082 | Date 24/04/2023 |
| Token No | SM/22-23/8363 24/04/2023 | Serial | 030 |
| Patient Name | Mr. ABHIRAJ KUMAR SHAW | Contact No | 9062764820 |
| Address | 37 NEW MAHESH SERAMPORE 712203 | Age | 15 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||