Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08891 | Date 12/03/2025 |
| Token No | SM/24-25/36880 12/03/2025 | Serial | 068 |
| Patient Name | Mr. RANOBEER PRADHAN | Contact No | 7003431734 |
| Address | 65/25/47 PRAVASHNAGAR SERAMPORE 712249 | Age | 14 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||