Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04302 | Date 10/06/2023 |
| Token No | SM/22-23/9455 10/06/2023 | Serial | 024 |
| Patient Name | Miss KAJAL KUMARI PANDEY | Contact No | 9525827730 |
| Address | 182 NEW MAHESH SERAMPORE 712203 | Age | 18 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||