Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 03453 | Date 20/12/2022 |
| Token No | SM/22-23/8988 20/05/2023 | Serial | 013 |
| Patient Name | Master ARUN TIWARI | Contact No | 9883670194 |
| Address | 97/K/1 PRABASNAGAR SERAMPORE 712249 | Age | 5 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||