Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05601 | Date 06/11/2023 |
| Token No | SM/24-25/36356 04/03/2025 | Serial | 011 |
| Patient Name | Mr. ALOKE PASWAN | Contact No | 9007095810 |
| Address | 29 NEW MAHESH SERAMPORE 712249 | Age | 11 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 34 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||