Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06519 | Date 03/04/2024 |
| Token No | SM/24-25/20457 03/04/2024 | Serial | 009 |
| Patient Name | Miss BAIBHABI GUPTA | Contact No | 9831759520 |
| Address | 193 NEW MAHESH SERAMPORE 712203 | Age | 3 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||