Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 10246 | Date 29/11/2025 |
| Token No | SM/25-26/11238 29/11/2025 | Serial | 078 |
| Patient Name | Master ANSH KUMAR SAH | Contact No | 9088997636 |
| Address | 9/1/A/38 GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 1 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||