Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01675 | Date 25/05/2022 |
| Token No | SM/22-23/118 25/05/2022 | Serial | 030 |
| Patient Name | Master ARYA VEER KUMAR | Contact No | 8910341633 |
| Address | GURU GARDEN ROAD PRABASHNAGAR SERAM[PORE 712203 | Age | 6 MONTH Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||