Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02647 | Date 07/09/2022 |
| Token No | SM/22-23/3273 08/10/2022 | Serial | 008 |
| Patient Name | Mr. ANIKET KUMAR | Contact No | 7044338884 |
| Address | 99/B/A PRABASHNAGAR SERAMPORE 712249 | Age | 12 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||