Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04966 | Date 26/08/2023 |
| Token No | SM/25-26/534 10/04/2025 | Serial | 018 |
| Patient Name | Mr. AMAN PRASAD | Contact No | 7686980471 |
| Address | 60/D GURU GARDEN ROAD PROVASHNAGAR SERAMPORE 712249 | Age | 6 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 12 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||