Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07513 | Date 24/07/2024 |
| Token No | SM/25-26/4858 17/07/2025 | Serial | 035 |
| Patient Name | Mr. ASHISH KUMAR | Contact No | 7209292346 |
| Address | PRAVASHNAGAR SERAMPORE 712249 | Age | 8 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||