Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05413 | Date 12/10/2023 |
| Token No | SM/22-23/14301 12/10/2023 | Serial | 017 |
| Patient Name | Mr. ADITYA SHARMA | Contact No | 7044245540 |
| Address | 97/L/1 PRAVASHNAGAR SERAMPORE 712249 | Age | 11 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 25 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||