Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01870 | Date 10/06/2022 |
| Token No | SM/22-23/7699 21/03/2023 | Serial | 005 |
| Patient Name | Mr. AYUSH THAKUR | Contact No | 9831509624 |
| Address | 13/29 SARADA PALLY SERAMPORE 712203 | Age | 6 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||