Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04691 | Date 03/08/2023 |
| Token No | SM/22-23/11267 03/08/2023 | Serial | 008 |
| Patient Name | Miss PAYAL PASWAN | Contact No | 6289225272 |
| Address | 172 NEW MAHESH SERAMPORE 712203 | Age | 9 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 22 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||