Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09040 | Date 03/04/2025 |
| Token No | SM/25-26/173 03/04/2025 | Serial | 055 |
| Patient Name | Mr. MANGALAM GUPTA | Contact No | 9163247576 |
| Address | 41/32/B/5 PRAVASHNAGAR SERAMPORE 712249 | Age | 11 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||