Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08849 | Date 08/03/2025 |
| Token No | SM/24-25/36592 08/03/2025 | Serial | 002 |
| Patient Name | Master VAIBHAV SHAW | Contact No | 7439168453 |
| Address | 166 NEW MAHESH SERAMPORE 712203 | Age | 5 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||