Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 03190 | Date 18/11/2022 |
| Token No | SM/22-23/4555 18/11/2022 | Serial | 048 |
| Patient Name | Mr. AMIT KUMAR SINGH | Contact No | |
| Address | PRABASHNAGAR SERAMPORE 712249 | Age | 18 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||