Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09043 | Date 03/04/2025 |
| Token No | SM/25-26/194 03/04/2025 | Serial | 076 |
| Patient Name | Mr. RITIK KUMAR SINGH | Contact No | 9804417737 |
| Address | 165/A/A PRAVASHNAGAR SERAMPORE 712249 | Age | 23 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||