Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02188 | Date 07/07/2022 |
| Token No | SM/22-23/1211 07/07/2022 | Serial | 033 |
| Patient Name | Mr. ABHISHEK SHARMA | Contact No | 6290976766 |
| Address | 66/B GURU GARDEN ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 19 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||