Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08833 | Date 06/03/2025 |
| Token No | SM/25-26/4407 07/07/2025 | Serial | 002 |
| Patient Name | Mr. ANSH KUMAR SINGH | Contact No | 8777246169 |
| Address | 97/H/7 PRAVASHNAGAR SERAMPORE 712249 | Age | 12 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||