Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05071 | Date 05/09/2023 |
| Token No | SM/22-23/12764 05/09/2023 | Serial | 037 |
| Patient Name | Mr. YASH KUMAR PATWA | Contact No | 9007761519 |
| Address | 66B GURU GARDEN ROAD SERAMPORE 712249 | Age | 9 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 21 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||