Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03074 | Date 07/11/2022 |
| Token No | SM/22-23/4343 11/11/2022 | Serial | 056 |
| Patient Name | Mr. MONU PANDEY | Contact No | 7980320468 |
| Address | 159 NEW MAHESH SERAMPORE 712203 | Age | 18 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||