Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 10340 | Date 29/12/2025 |
| Token No | SM/25-26/12470 29/12/2025 | Serial | 039 |
| Patient Name | Mr. AMIT KUMAR SHARMA | Contact No | 9903865939 |
| Address | B-1 7 SUBASH NAGAR HOUSING COMPLEX PRAVASHNAGAR SERAMPORE 712249 | Age | 22 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||