Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04230 | Date 26/05/2023 |
| Token No | SM/22-23/9104 26/05/2023 | Serial | 026 |
| Patient Name | Mr. DIBYANSH GIRI | Contact No | 8777865685 |
| Address | 190 NEW MAHESH SERAMPORE 712203 | Age | 7 MONTH Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||