Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08713 | Date 11/02/2025 |
| Token No | SM/24-25/35543 11/02/2025 | Serial | 022 |
| Patient Name | Mr. ROSHAN SINGH | Contact No | 6291708408 |
| Address | PRAVASHNAGAR SERAMPORE 712249 | Age | 8 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||