Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05470 | Date 18/10/2023 |
| Token No | SM/22-23/14567 18/10/2023 | Serial | 031 |
| Patient Name | Master RUDRA YADAV | Contact No | 7439056145 |
| Address | 43/18 PRAVASHNAGAR SERAMPORE 712249 | Age | 1 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||