Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09081 | Date 09/04/2025 |
| Token No | SM/25-26/512 09/04/2025 | Serial | 097 |
| Patient Name | Master DIBYANSH KUMAR | Contact No | 8229926872 |
| Address | 87/1/R PRAVASHNAGAR SERAMPORE 712249 | Age | 1 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||