Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08533 | Date 11/01/2025 |
| Token No | SM/24-25/34032 11/01/2025 | Serial | 028 |
| Patient Name | Mr. NIL DAS | Contact No | 8981107811 |
| Address | 3/J DCRUZE GARDEN LANE SERAMPORE 712203 | Age | 7 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||