Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03871 | Date 04/03/2023 |
| Token No | SM/25-26/4585 12/07/2025 | Serial | 006 |
| Patient Name | Master SUMIT KUMAR YADAV | Contact No | 9674547579 |
| Address | 43/27/A/2 GURU GARDEN ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 3 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 14 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||