Ticket for Outdoor Patient
| Ward No. 24 | U-PHC No. | Registration No. 07102 | Date 24/06/2024 |
| Token No | SM/25-26/4086 28/06/2025 | Serial | 022 |
| Patient Name | Mr. PRASANT KUMAR SINGH | Contact No | 9748022601 |
| Address | 4/2 ROYLAND ROAD SERAMPORE 712202 | Age | 13 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||