Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04008 | Date 04/04/2023 |
| Token No | SM/25-26/9431 22/10/2025 | Serial | 022 |
| Patient Name | Mr. KARTIK YADAV | Contact No | 6291812406 |
| Address | 95 NEW MAHESH SERAMPORE 712203 | Age | 8 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 17 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||