Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01940 | Date 17/06/2022 |
| Token No | SM/22-23/607 17/06/2022 | Serial | 012 |
| Patient Name | Mr. SIDHANT SINGH | Contact No | 9330617667 |
| Address | 97K/3 PRABASHNAGAR SERAMPORE 712203 | Age | 8 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 24 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||