Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01757 | Date 30/05/2022 |
| Token No | SM/22-23/239 30/05/2022 | Serial | 037 |
| Patient Name | Master AAYUSH SINGH | Contact No | 7044976302 |
| Address | B8 411 SUBASHNAGAR SERAMPORE 712249 | Age | 3 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 10 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||