Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07119 | Date 25/06/2024 |
| Token No | SM/25-26/20707 29/08/2026 | Serial | 016 |
| Patient Name | Mr. AIUS SINGH | Contact No | 8240404420 |
| Address | 97/C PRAVASNAGAR SERAMPORE 712249 | Age | 15 Years,4 Months,9 Days Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||