Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09060 | Date 07/04/2025 |
| Token No | SM/25-26/8739 07/10/2025 | Serial | 035 |
| Patient Name | Master HARS SINGH | Contact No | 9073547974 |
| Address | 49/0/3/1 PRAVASHNAGAR SERAMPORE 712249 | Age | 3 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||