Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07485 | Date 19/07/2024 |
| Token No | SM/24-25/25183 19/07/2024 | Serial | 038 |
| Patient Name | Mr. AYUSH KUMAR MALI | Contact No | 9831324440 |
| Address | 66/C/3/1 GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 7 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||