Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05193 | Date 21/09/2023 |
| Token No | SM/22-23/13342 21/09/2023 | Serial | 026 |
| Patient Name | Mrs. AYUSHI GIRI | Contact No | 9903668161 |
| Address | 190 NEW MAHESH SERAMPORE 712203 | Age | 12 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||