Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07585 | Date 05/08/2024 |
| Token No | SM/24-25/26017 05/08/2024 | Serial | 032 |
| Patient Name | Mr. PRINCE DUBEY | Contact No | 8820474114 |
| Address | 97/Z/4 PRABASHNAGAR SERAMPORE 712249 | Age | 14 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||