Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04333 | Date 15/06/2023 |
| Token No | SM/25-26/22644 26/10/2026 | Serial | 034 |
| Patient Name | Mr. RUBAL YADAV | Contact No | 8231831663 |
| Address | 97/H/9 GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 14 Years,6 Months,14 Days Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||