Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06783 | Date 14/05/2024 |
| Token No | SM/25-26/5530 29/07/2025 | Serial | 028 |
| Patient Name | Mr. ATHARV TIWARY | Contact No | 9760008567 |
| Address | 108 PRAVASHNAGAR SERAMPORE 712249 | Age | 7 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||