Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03848 | Date 02/03/2023 |
| Token No | SM/22-23/7443 11/03/2023 | Serial | 005 |
| Patient Name | Miss AKSHRA BHARATI | Contact No | 7033665215 |
| Address | 190 NEW MAHESH SERAMPORE 712203 | Age | 9 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||