Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 10135 | Date 04/11/2025 |
| Token No | SM/25-26/9921 04/11/2025 | Serial | 019 |
| Patient Name | Mr. SEBAM KUMAR | Contact No | 8910816626 |
| Address | 100/B PRAVASHNAGAR SERAMPORE 712249 | Age | 12 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||