Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03589 | Date 09/01/2023 |
| Token No | SM/25-26/6511 18/08/2025 | Serial | 049 |
| Patient Name | Mr. PRINCE KUMAR YADAV | Contact No | 9748136790 |
| Address | 37/2/E GURU GARDEN ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 12 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||