Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03798 | Date 20/02/2023 |
| Token No | SM/24-25/26892 20/08/2024 | Serial | 060 |
| Patient Name | Mr. ADITYA SINGH | Contact No | 9883232700 |
| Address | PRAVASHNAGAR CHAKLAPARA SERAMPORE 712249 | Age | 6 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||