Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02834 | Date 30/09/2022 |
| Token No | SM/22-23/8483 28/04/2023 | Serial | 015 |
| Patient Name | Mr. ADARSH KUMAR GIRI | Contact No | 8674820766 |
| Address | 165/A NEW MAHESH SERAMPORE 712249 | Age | 14 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||