Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05595 | Date 06/11/2023 |
| Token No | SM/24-25/34174 16/01/2025 | Serial | 014 |
| Patient Name | Mr. AMIT KUMAR SINGH | Contact No | 9051507256 |
| Address | 165/A/A M G ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 6 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 12 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||