Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07383 | Date 06/07/2024 |
| Token No | SM/24-25/24554 06/07/2024 | Serial | 025 |
| Patient Name | Mr. DIVHYANSU TIWARI | Contact No | 8420019711 |
| Address | GHORAMARA SERAMPORE 712203 | Age | 9 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 19 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||