Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09369 | Date 30/05/2025 |
| Token No | SM/25-26/5179 23/07/2025 | Serial | 020 |
| Patient Name | Master KARTICK SINGH | Contact No | 9123352168 |
| Address | 66/E/21 GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 1 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||