Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 03202 | Date 19/11/2022 |
| Token No | SM/22-23/15595 17/11/2023 | Serial | 028 |
| Patient Name | Mr. SAMRIDDH GUPTA | Contact No | 9830432746 |
| Address | 118/3/A PRABASHNAGAR SERAMPORE 712249 | Age | 12 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||