Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06867 | Date 28/05/2024 |
| Token No | SM/24-25/22376 28/05/2024 | Serial | 006 |
| Patient Name | Master SHIV PATWA | Contact No | 8013630941 |
| Address | 107/A/1 GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 1 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||