Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06873 | Date 28/05/2024 |
| Token No | SM/25-26/12281 22/12/2025 | Serial | 041 |
| Patient Name | Master ANIKET GUPTA | Contact No | 8515010024 |
| Address | 73 GURU GARDEN ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 5 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||