Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05240 | Date 26/09/2023 |
| Token No | SM/22-23/13542 26/09/2023 | Serial | 009 |
| Patient Name | Mr. ANSH PASWAN | Contact No | 9007095810 |
| Address | 29 NEW MAHESH SERAMPORE 712203 | Age | 12 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 37 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||