Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07658 | Date 12/08/2024 |
| Token No | SM/25-26/11482 05/12/2025 | Serial | 012 |
| Patient Name | Mr. ANUBHAB PASWAN | Contact No | 9051411158 |
| Address | 97/N/2 GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 15 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||