Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06693 | Date 03/05/2024 |
| Token No | SM/24-25/21477 03/05/2024 | Serial | 072 |
| Patient Name | Master AYUSH SINGH | Contact No | 8240213840 |
| Address | 97/O/4/A PRAVASHNAGAR SERAMPORE 712249 | Age | 3 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||