Ticket for Outdoor Patient
| Ward No. 24 | U-PHC No. | Registration No. 07101 | Date 24/06/2024 |
| Token No | SM/24-25/23606 24/06/2024 | Serial | 030 |
| Patient Name | Mr. PRINCE KUMAR SINGH | Contact No | 9748022601 |
| Address | 4/2 ROYLAND ROAD SERAMPORE 712202 | Age | 14 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||