Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02762 | Date 23/09/2022 |
| Token No | SM/24-25/35898 20/02/2025 | Serial | 006 |
| Patient Name | Mr. LAKSH KUMAR KAHAR | Contact No | 6291242362 |
| Address | 75 GURU GARDEN ROAD SERAMPORE 712203 | Age | 12 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 20 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||