Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04370 | Date 24/06/2023 |
| Token No | SM/22-23/9877 24/06/2023 | Serial | 011 |
| Patient Name | Baby KHANAK SINGH | Contact No | 9804977615 |
| Address | 65/25/38 PRABASHNAGAR SERAMPORE 712249 | Age | 3 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 11 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||