Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 04596 | Date 25/07/2023 |
| Token No | SM/25-26/4948 18/07/2025 | Serial | 029 |
| Patient Name | Mr. SONU PASWAN | Contact No | 8961725066 |
| Address | 55/A RAY LAND ROAD SERAMPORE 712201 | Age | 13 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 28 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||