Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 03826 | Date 23/02/2023 |
| Token No | SM/22-23/20165 23/03/2024 | Serial | 055 |
| Patient Name | Master AYANSH KUMAR | Contact No | 8210398186 |
| Address | 9/1/A/104 M J ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 4 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 20 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||