Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08109 | Date 28/10/2024 |
| Token No | SM/25-26/2208 19/05/2025 | Serial | 016 |
| Patient Name | Master RISHAB YADAV | Contact No | 9122284887 |
| Address | 97/R GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 2 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||