Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03984 | Date 25/03/2023 |
| Token No | SM/22-23/7812 25/03/2023 | Serial | 016 |
| Patient Name | Mr. PRATIK SHARMA | Contact No | 9681050522 |
| Address | 89 NEW MAHESH SERAMPORE 712203 | Age | 8 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||