Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04048 | Date 12/04/2023 |
| Token No | SM/22-23/8179 12/04/2023 | Serial | 017 |
| Patient Name | Mr. ANSHRAJ SINGH | Contact No | 7484888489 |
| Address | 97/Z/7 PRABASHNAGAR SERAMPORE 712249 | Age | 14 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||