Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04687 | Date 02/08/2023 |
| Token No | SM/22-23/11326 04/08/2023 | Serial | 021 |
| Patient Name | Mr. ADITYA KUMAR YADAV | Contact No | 7050409420 |
| Address | 30/54 TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 7 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 20 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||