Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07075 | Date 21/06/2024 |
| Token No | SM/24-25/23496 21/06/2024 | Serial | 042 |
| Patient Name | Master RAJ SINHA | Contact No | 7294196501 |
| Address | 68 GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 5 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 14 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||