Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 10004 | Date 24/09/2025 |
| Token No | SM/25-26/8451 24/09/2025 | Serial | 042 |
| Patient Name | Master TANNU KASMA | Contact No | 8240664086 |
| Address | 43/27/B/1 PRAVASHNAGAR SERAMPORE 712249 | Age | 4 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||