Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02129 | Date 04/07/2022 |
| Token No | SM/22-23/1060 04/07/2022 | Serial | 027 |
| Patient Name | Mr. ABHAY SINGH | Contact No | 6291737340 |
| Address | B-4/205 SUBASHNAGAR HOUSING SERAMPORE 712249 | Age | 16 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||