Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04088 | Date 25/04/2023 |
| Token No | SM/22-23/8385 25/04/2023 | Serial | 011 |
| Patient Name | Miss ISHIKA MAJHI | Contact No | 9903160997 |
| Address | 119 NEW MAHESH SERAMPORE 712203 | Age | 12 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||