Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04138 | Date 04/05/2023 |
| Token No | SM/22-23/8596 04/05/2023 | Serial | 016 |
| Patient Name | Mr. RAGHAV YADAV | Contact No | 8231831663 |
| Address | 97/H/9 PRAVASHNAGAR SERAMPORE 712249 | Age | 10 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||