Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08552 | Date 16/01/2025 |
| Token No | SM/24-25/34353 20/01/2025 | Serial | 013 |
| Patient Name | Mr. LUCKY SINGH | Contact No | 9546590437 |
| Address | 70 PRAVASHNAGAR SERAMPORE 712249 | Age | 18 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||