Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05771 | Date 01/12/2023 |
| Token No | SM/22-23/16020 01/12/2023 | Serial | 020 |
| Patient Name | Master SARANG SINGH | Contact No | 9339073256 |
| Address | 58/D PRAVASHNAGAR SERAMPORE 712249 | Age | 5 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||