Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 10139 | Date 04/11/2025 |
| Token No | SM/25-26/9929 04/11/2025 | Serial | 027 |
| Patient Name | Master SRIYANSH MISHRA | Contact No | 9088495201 |
| Address | 97/H/5 PRAVASHNAGAR SERAMPORE 712249 | Age | 1 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||