Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06584 | Date 18/04/2024 |
| Token No | SM/24-25/20845 18/04/2024 | Serial | 047 |
| Patient Name | Master DIBYAM KR DUBEY | Contact No | 7980888128 |
| Address | PRAVASHNAGAR SERAMPORE 712249 | Age | 1 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||