Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06988 | Date 12/06/2024 |
| Token No | SM/24-25/23074 12/06/2024 | Serial | 026 |
| Patient Name | Mr. SUBHAM SINGH | Contact No | 8240213840 |
| Address | 97/O/4 PRAVASHNAGAR SERAMPORE 712249 | Age | 9 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||