Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08279 | Date 25/11/2024 |
| Token No | SM/24-25/31720 25/11/2024 | Serial | 018 |
| Patient Name | Mr. SUNIL KUMAR YADAV | Contact No | 9804862454 |
| Address | 37/2/E M J ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 15 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||