Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 10166 | Date 13/11/2025 |
| Token No | SM/25-26/10358 13/11/2025 | Serial | 027 |
| Patient Name | Master SASHI YADAV | Contact No | 8820272750 |
| Address | 92 NEW MAHESH SERAMPORE 712203 | Age | 5 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||