Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01214 | Date 17/03/2020 |
| Token No | SM/22-23/1666 28/07/2022 | Serial | 018 |
| Patient Name | Mr. ADARSH KUMAR SINGH | Contact No | 9208866405 |
| Address | 13/39 SARADA PALLY SERAMPORE 712203 | Age | 16 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||