Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 03035 | Date 03/11/2022 |
| Token No | SM/22-23/3989 03/11/2022 | Serial | 003 |
| Patient Name | Mr. VISHAL KUMAR KAHAR | Contact No | 6291242362 |
| Address | 75 GURU GARDEN ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 13 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 42 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||