Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 09027 | Date 03/04/2025 |
| Token No | SM/25-26/5239 23/07/2025 | Serial | 080 |
| Patient Name | Mr. ANKIT PRASAD | Contact No | 6289069165 |
| Address | 2/1/33 S S ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 15 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||