Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05286 | Date 29/09/2023 |
| Token No | SM/24-25/30632 05/11/2024 | Serial | 023 |
| Patient Name | Mr. SURAJ PATWA | Contact No | 9836777014 |
| Address | 66/B GURU GARDEN ROAD SERAMPORE 712249 | Age | 15 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||