Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00239 | Date 24/09/2019 |
| Token No | SM/22-23/19480 06/03/2024 | Serial | 024 |
| Patient Name | Mr. PIYUSH PASWAN | Contact No | 6289225272 |
| Address | 172 NEW MAHESH SERAMPORE 712203 | Age | 6 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 17 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||