Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08280 | Date 25/11/2024 |
| Token No | SM/25-26/8496 25/09/2025 | Serial | 001 |
| Patient Name | Master BIDYANSHU SINGH | Contact No | 6201676411 |
| Address | 43/27/A/3 G G ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 4 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||