Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06614 | Date 23/04/2024 |
| Token No | SM/24-25/22088 17/05/2024 | Serial | 044 |
| Patient Name | Master BIRAT SINGH | Contact No | 9088798598 |
| Address | 97/G DHOBIA PARA PRAVASHNAGAR SERAMPORE M 712249 | Age | 5 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 19 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||