Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06308 | Date 19/02/2024 |
| Token No | SM/22-23/18785 19/02/2024 | Serial | 063 |
| Patient Name | Mr. ROHIT KUMAR MAHATO | Contact No | 9748105375 |
| Address | 9/437/C PRAVASHNAGAR SERAMPORE 712249 | Age | 15 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||