Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00685 | Date 08/01/2020 |
| Token No | SM/24-25/35405 08/02/2025 | Serial | 042 |
| Patient Name | Mr. JOYDIP SHIL | Contact No | 9143064981 |
| Address | 165/C PRABASHNAGAR WEST JANNAGAR ROAD 712249 | Age | 13 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 30 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||