Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04120 | Date 29/04/2023 |
| Token No | SM/22-23/8501 29/04/2023 | Serial | 007 |
| Patient Name | Miss ARYA DUBEY | Contact No | 9831149910 |
| Address | PRABASHNAGAR SERAMPORE 712249 | Age | 8 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||