Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01944 | Date 17/06/2022 |
| Token No | SM/22-23/618 17/06/2022 | Serial | 023 |
| Patient Name | Mr. MUNNA GUPTA | Contact No | 6289038656 |
| Address | 122 PRABASHNAGAR,SERAMPORE 712249 | Age | 15 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||