Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08164 | Date 06/11/2024 |
| Token No | SM/24-25/30713 06/11/2024 | Serial | 050 |
| Patient Name | Master DIVYANSH JHA | Contact No | 7890362728 |
| Address | 13/5 B B GHOSH ROAD SARADA PALLY 712249 | Age | 3 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||