Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02762 | Date 23/09/2022 |
| Token No | SM/22-23/6315 28/01/2023 | Serial | 021 |
| Patient Name | Mr. LAKSH KUMAR KAHAR | Contact No | 6291242362 |
| Address | 75 GURU GARDEN ROAD SERAMPORE 712203 | Age | 12 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||