Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04334 | Date 15/06/2023 |
| Token No | SM/22-23/9624 15/06/2023 | Serial | 037 |
| Patient Name | Baby KABIYA PASWAN | Contact No | 9088711499 |
| Address | 136 NEW MAHESH SERAMPORE 712203 | Age | 2 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||