Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04842 | Date 17/08/2023 |
| Token No | SM/22-23/11935 17/08/2023 | Serial | 018 |
| Patient Name | Baby PRACHI CHOUHAN | Contact No | 8910809122 |
| Address | 13/A PRABASHNAGAR SERAMPORE 712249 | Age | 1 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||