Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 08111 | Date 28/10/2024 |
| Token No | SM/24-25/30207 28/10/2024 | Serial | 026 |
| Patient Name | Mr. RITIK RAUSHAN KUMAR | Contact No | 8100146167 |
| Address | 1/B/2 GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 22 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||