Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07620 | Date 08/08/2024 |
| Token No | SM/25-26/11164 29/11/2025 | Serial | 004 |
| Patient Name | Mr. SAKSHYAM SINGH | Contact No | 7488300841 |
| Address | 97/C PRAVASHNAGAR SERAMPORE 712249 | Age | 17 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||