Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 10321 | Date 20/12/2025 |
| Token No | SM/25-26/12221 20/12/2025 | Serial | 061 |
| Patient Name | Master SHIVAM SINGH | Contact No | 9062470100 |
| Address | 97/P/15 PRAVASHNAGAR SERAMPORE 712249 | Age | 1 YRS Male |
| Token For | Visit Doctor,Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||