Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08342 | Date 03/12/2024 |
| Token No | SM/25-26/5259 23/07/2025 | Serial | 100 |
| Patient Name | Mr. DHARAM KUMAR YADAV | Contact No | 6291801679 |
| Address | 43/27/A/2 PRAVASHNAGAR SERAMPORE 712249 | Age | 12 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||