Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06809 | Date 16/05/2024 |
| Token No | SM/24-25/22040 16/05/2024 | Serial | 071 |
| Patient Name | Master SHIBHAM SAH | Contact No | 9038569025 |
| Address | 228 NEW MAHESH SERAMPORE 712203 | Age | 4 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||