Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09959 | Date 15/09/2025 |
| Token No | SM/25-26/7996 15/09/2025 | Serial | 012 |
| Patient Name | Mr. RISHU KUMAR SINGH | Contact No | 9123840921 |
| Address | 81/B PRAVASHNAGAR SERAMPORE 712249 | Age | 15 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||