Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03578 | Date 07/01/2023 |
| Token No | SM/22-23/5974 07/01/2023 | Serial | 017 |
| Patient Name | Miss DIPIKA KUMARI | Contact No | 8252056801 |
| Address | 182 NEW MAHESH SERAMPORE 712203 | Age | 10 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||