Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02465 | Date 17/08/2022 |
| Token No | SM/22-23/2062 17/08/2022 | Serial | 006 |
| Patient Name | Master ARAB VERMA | Contact No | 7980069881 |
| Address | 105 GURU GARDEN ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 7 MONTH Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 6 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||