Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08008 | Date 09/10/2024 |
| Token No | SM/24-25/29403 14/10/2024 | Serial | 008 |
| Patient Name | Mr. VINEET JARIWALA | Contact No | 9831536058 |
| Address | 34/B/64 B B GHOSH ROAD SERAMPORE 712203 | Age | 13 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||