Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09169 | Date 24/04/2025 |
| Token No | SM/25-26/1146 24/04/2025 | Serial | 047 |
| Patient Name | Mr. SURAJ UPADHYAY | Contact No | 9163541146 |
| Address | 65/25/39 M J ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 20 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||