Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06982 | Date 11/06/2024 |
| Token No | SM/24-25/23039 11/06/2024 | Serial | 035 |
| Patient Name | Mr. LAKHHI KUMAR | Contact No | 8100009798 |
| Address | STANDER PHARMACY SERAMPORE 712203 | Age | 14 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||