Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04831 | Date 14/08/2023 |
| Token No | SM/22-23/11844 14/08/2023 | Serial | 052 |
| Patient Name | Mr. UTTAM TIWARI | Contact No | 8240290936 |
| Address | K/97/1 PRAVASHNAGAR SERAMPORE 712249 | Age | 10 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 19 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||