Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 00325 | Date 01/11/2019 |
| Token No | SM/24-25/26016 05/08/2024 | Serial | 031 |
| Patient Name | Mr. AKSHOY DUBEY | Contact No | 8820404347 |
| Address | 97/Z/4 PRABASHNAGAR SERAMPORE 712249 | Age | 8 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 25 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||