Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04239 | Date 27/05/2023 |
| Token No | SM/25-26/11239 29/11/2025 | Serial | 079 |
| Patient Name | Baby KABEYA PASWAN | Contact No | 9088711499 |
| Address | 136 NEW MAHESH SERAMPORE 712203 | Age | 2 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||