Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 08894 | Date 12/03/2025 |
| Token No | SM/24-25/36948 13/03/2025 | Serial | 051 |
| Patient Name | Mr. SHIVNATH DAS | Contact No | 7449626326 |
| Address | 30/77 TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 9 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||