Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05128 | Date 12/09/2023 |
| Token No | SM/22-23/13039 12/09/2023 | Serial | 063 |
| Patient Name | Baby SRISTI YADAV | Contact No | 6290508871 |
| Address | 92 NEW MAHESH SERAMPORE 712203 | Age | 5 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 14 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||