Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09107 | Date 16/04/2025 |
| Token No | SM/25-26/699 16/04/2025 | Serial | 014 |
| Patient Name | Master ADITYA YADAV | Contact No | |
| Address | PRAVASHNAGAR SERAMPORE 712249 | Age | 2 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||