Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 08130 | Date 30/10/2024 |
| Token No | SM/24-25/33535 01/01/2025 | Serial | 004 |
| Patient Name | Master SHUBHAYAN PAL | Contact No | 8777346749 |
| Address | 152 2 NO RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 3 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||