Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06245 | Date 10/02/2024 |
| Token No | SM/22-23/18775 19/02/2024 | Serial | 053 |
| Patient Name | Mr. SHIVAM YADAV | Contact No | 8443870031 |
| Address | 126 NEW MAHESH SERAMPORE 712203 | Age | 13 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 30 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||