Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09952 | Date 13/09/2025 |
| Token No | SM/25-26/7959 13/09/2025 | Serial | 029 |
| Patient Name | Mr. SPARSAN BHANDARI | Contact No | 9836769494 |
| Address | 65/25/16/A GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 9 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||