Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02871 | Date 13/10/2022 |
| Token No | SM/22-23/3395 13/10/2022 | Serial | 001 |
| Patient Name | Mr. ANIT RAM | Contact No | 8777234793 |
| Address | 49/N GURU GARDEN ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 14 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||