Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05136 | Date 13/09/2023 |
| Token No | SM/22-23/13074 13/09/2023 | Serial | 024 |
| Patient Name | Miss ABHILASHA KUMARI | Contact No | 8585021205 |
| Address | 253 NEW MAHESH SERAMPORE 712203 | Age | 17 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||