Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09669 | Date 30/07/2025 |
| Token No | SM/25-26/5559 30/07/2025 | Serial | 025 |
| Patient Name | Mr. PRIT KUMAR PANDEY | Contact No | 9874359534 |
| Address | 65/19/3 WEST JANNAGAR ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 10 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||