Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07090 | Date 22/06/2024 |
| Token No | SM/24-25/23532 22/06/2024 | Serial | 011 |
| Patient Name | Mr. ADITYA SRIVASTAVA | Contact No | 7044017284 |
| Address | 80/A PRAVASHNAGAR SERAMPORE 712249 | Age | 15 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||