Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04175 | Date 13/05/2023 |
| Token No | SM/22-23/8811 13/05/2023 | Serial | 018 |
| Patient Name | Mr. PRAVAKAR KUMAR PANDEY | Contact No | 9875564226 |
| Address | 159 NEW MAHESH SERAMPORE 712203 | Age | 11 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||