Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02414 | Date 08/08/2022 |
| Token No | SM/22-23/5222 12/12/2022 | Serial | 033 |
| Patient Name | Mr. PINKI PANDEY | Contact No | 9051934973 |
| Address | 47/J PROVASNAGAR SERAMPORE 712249 | Age | 16 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||