Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04754 | Date 08/08/2023 |
| Token No | SM/22-23/11654 10/08/2023 | Serial | 044 |
| Patient Name | Mr. VIJAY KUMAR GUPTA | Contact No | 6290163167 |
| Address | 72/A/8 PRAVASHNAGAR SERAMPORE 712249 | Age | 17 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 36 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||