Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04259 | Date 31/05/2023 |
| Token No | SM/22-23/9213 31/05/2023 | Serial | 009 |
| Patient Name | Master CHIKU JHA | Contact No | 9874712068 |
| Address | 9/A/1 TARAPUKUR LANE SERAMPORE 712203 | Age | 1 MONTH Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||