Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09650 | Date 28/07/2025 |
| Token No | SM/25-26/5569 30/07/2025 | Serial | 035 |
| Patient Name | Mr. OMPRAKASH PASWAN | Contact No | 8229926967 |
| Address | PRABASHNAGAR SERAMPORE 712249 | Age | 21 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||