Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04639 | Date 27/07/2023 |
| Token No | SM/22-23/11061 27/07/2023 | Serial | 045 |
| Patient Name | Mr. SUMIT SINGH | Contact No | 7439086289 |
| Address | KHUDIRAM BAGAN PRABASHNAGAR SERAMPORE 712249 | Age | 17 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 48 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||