Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 00079 | Date 11/09/2019 |
| Token No | SM/25-26/10157 08/11/2025 | Serial | 052 |
| Patient Name | Mr. ANUJ KUMAR SINGH | Contact No | 9748261313 |
| Address | 49/N PRAVASHNAGAR SERAMPORE 712249 | Age | 14 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||