Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05609 | Date 07/11/2023 |
| Token No | SM/22-23/15253 07/11/2023 | Serial | 027 |
| Patient Name | Miss SAKSHI KUMARI PANDEY | Contact No | 9874359534 |
| Address | 65/19/9 M J ROAD SERAMPORE M 712249 | Age | 12 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 28 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||