Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02878 | Date 13/10/2022 |
| Token No | SM/22-23/3405 13/10/2022 | Serial | 011 |
| Patient Name | Miss DAMINI MISHRA | Contact No | 6289117552 |
| Address | 100 NEW MAHESH SERAMPORE 712203 | Age | 11 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||