Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05271 | Date 27/09/2023 |
| Token No | SM/22-23/17144 03/01/2024 | Serial | 016 |
| Patient Name | Mr. SHUBHAM KUMAR GUPTA | Contact No | 9804897283 |
| Address | 66/Y GURU GARDEN ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 14 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 25 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||