Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02611 | Date 02/09/2022 |
| Token No | SM/25-26/12584 31/12/2025 | Serial | 031 |
| Patient Name | Mr. ASHWINI KUMAR SINGH | Contact No | 7044338884 |
| Address | 99/B/A PRABASHNAGAR SERAMPORE 712249 | Age | 18 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 63 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||