Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08944 | Date 24/03/2025 |
| Token No | SM/25-26/697 16/04/2025 | Serial | 012 |
| Patient Name | Mr. RAJU KUMAR SHARMA | Contact No | 8444067719 |
| Address | PRAVASHNAGAR SERAMPORE 712249 | Age | 11 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||