Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07534 | Date 27/07/2024 |
| Token No | SM/24-25/25689 29/07/2024 | Serial | 027 |
| Patient Name | Mr. AYUSH KUMAR SHAW | Contact No | 8481951046 |
| Address | 810 CHAKLAPARA PRAVASHNAGAR SERAMPORE 712249 | Age | 10 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||