Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09859 | Date 01/09/2025 |
| Token No | SM/25-26/7241 01/09/2025 | Serial | 059 |
| Patient Name | Mr. RAHUL PASWAN | Contact No | 9804470533 |
| Address | 172 NEW MAHESH SERAMPORE 712203 | Age | 15 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||