Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09183 | Date 28/04/2025 |
| Token No | SM/25-26/1294 28/04/2025 | Serial | 038 |
| Patient Name | Mr. SHAKSHAM SINGH | Contact No | 7449804231 |
| Address | 97/C PRAVASHNAGAR SERAMPORE 712249 | Age | 16 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||