Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04710 | Date 04/08/2023 |
| Token No | SM/22-23/11334 04/08/2023 | Serial | 029 |
| Patient Name | Miss PRIYA PANDEY | Contact No | 9875564226 |
| Address | 159 NEW MAHESH SERAMPORE 712203 | Age | 12 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 31 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||