Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00188 | Date 17/09/2019 |
| Token No | SM/24-25/36446 06/03/2025 | Serial | 052 |
| Patient Name | Miss ARATI PASWAN | Contact No | 9007095810 |
| Address | 29 NEW MAHESH SERAMPORE 712249 | Age | 15 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 30 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||