Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04780 | Date 10/08/2023 |
| Token No | SM/22-23/11632 10/08/2023 | Serial | 022 |
| Patient Name | Mr. SURAJ YADAV | Contact No | |
| Address | PRAVASHNAGAR SERAMPORE 712249 | Age | 21 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 14 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||