Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05585 | Date 04/11/2023 |
| Token No | SM/22-23/15159 04/11/2023 | Serial | 046 |
| Patient Name | Baby SHREYA SHARMA | Contact No | 9062869383 |
| Address | 89 NEW MAHESH SERAMPORE 712203 | Age | 4 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||