Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04768 | Date 09/08/2023 |
| Token No | SM/22-23/11593 09/08/2023 | Serial | 051 |
| Patient Name | Baby DHRITI PATEL | Contact No | 9123914866 |
| Address | 222 NEW MAHESH SERAMPORE 712203 | Age | 1 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||