Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04887 | Date 21/08/2023 |
| Token No | SM/22-23/12088 21/08/2023 | Serial | 024 |
| Patient Name | Master DEVANSH MISHRA | Contact No | 6290670614 |
| Address | 108 PRAVASHNAGAR SERAMPORE 712249 | Age | 3 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||