Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02562 | Date 26/08/2022 |
| Token No | SM/22-23/7090 28/02/2023 | Serial | 013 |
| Patient Name | Mr. AKASH PANDEY | Contact No | 8274885837 |
| Address | 182 NEW MAHESH SERAMPORE 712203 | Age | 14 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||