Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05072 | Date 05/09/2023 |
| Token No | SM/22-23/12765 05/09/2023 | Serial | 038 |
| Patient Name | Mr. ANSH KUMAR PATWA | Contact No | 9007761519 |
| Address | 66B GURU GARDEN ROAD SERAMPORE 712249 | Age | 11 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 23 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||