Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 08737 | Date 15/02/2025 |
| Token No | SM/24-25/35704 15/02/2025 | Serial | 029 |
| Patient Name | Mr. NIKHIL CHOWDHURY | Contact No | 9804208830 |
| Address | 55 NO RAY LAND ROAD SERAMPORE 712201 | Age | 9 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||