Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09770 | Date 18/08/2025 |
| Token No | SM/25-26/6510 18/08/2025 | Serial | 048 |
| Patient Name | Mr. LALBABU YADAV | Contact No | 9748136790 |
| Address | 37/2/E GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 9 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||