Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09526 | Date 02/07/2025 |
| Token No | SM/25-26/4251 02/07/2025 | Serial | 031 |
| Patient Name | Mr. NIKHIL SHAW | Contact No | 7439250996 |
| Address | 79 NEW MAHESH SERAMPORE 712203 | Age | 10 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||