Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05103 | Date 11/09/2023 |
| Token No | SM/22-23/12931 11/09/2023 | Serial | 011 |
| Patient Name | Mr. GAURAV SAH | Contact No | 9681298515 |
| Address | B-8 FL-403 PROVASNAGAR SERAMPORE 712249 | Age | 13 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||