Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05519 | Date 30/10/2023 |
| Token No | SM/25-26/4876 17/07/2025 | Serial | 053 |
| Patient Name | Mr. AYUSH BHARTI | Contact No | 8585037437 |
| Address | 97/L/2 PRAVASHNAGAR SERAMPORE 712249 | Age | 19 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | 110/70 mmHg | Weight | 48 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||