Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07623 | Date 08/08/2024 |
| Token No | SM/24-25/26294 08/08/2024 | Serial | 083 |
| Patient Name | Mr. SAMIR PASWAN | Contact No | 7003274175 |
| Address | 122 GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 14 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||