Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06882 | Date 29/05/2024 |
| Token No | SM/24-25/22434 29/05/2024 | Serial | 017 |
| Patient Name | Mr. ANAND DUBEY | Contact No | 8240495965 |
| Address | 493 S K NAGAR PRAVASHNAGAR SERAMPORE 712249 | Age | 8 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||