Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09902 | Date 08/09/2025 |
| Token No | SM/25-26/7575 08/09/2025 | Serial | 005 |
| Patient Name | Mr. PRATYUSH KUMAR MAHATO | Contact No | 9830452429 |
| Address | 97/Q/3 GURUGARDEN ROAD SERAMPORE 712249 | Age | 10 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||