Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00707 | Date 10/01/2020 |
| Token No | SM/22-23/7813 25/03/2023 | Serial | 017 |
| Patient Name | Mr. PREM SHARMA | Contact No | 9681050522 |
| Address | 89 NEW MAHESH SERAMPORE 712203 | Age | 10 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 24 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||