Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 00538 | Date 11/12/2019 |
| Token No | SM/19-20/1058 11/12/2019 | Serial | 010 |
| Patient Name | Master MAYANK KUMAR | Contact No | 7764017571 |
| Address | 62/B PRAVASHNAGAR SERAMPORE 712249 | Age | 3 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||