Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02521 | Date 22/08/2022 |
| Token No | SM/25-26/8642 27/09/2025 | Serial | 012 |
| Patient Name | Mr. SUBHAM SINGH | Contact No | 8910816626 |
| Address | 100B/1 PRABASHNAGAR SERAMPORE 712249 | Age | 12 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||