Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03530 | Date 29/12/2022 |
| Token No | SM/24-25/36080 24/02/2025 | Serial | 054 |
| Patient Name | Mr. ANIKET GIRI | Contact No | 7890491336 |
| Address | 165/1 NEW MAHESH SERAMPORE 712203 | Age | 15 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 36 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||