Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 08983 | Date 27/03/2025 |
| Token No | SM/24-25/37550 27/03/2025 | Serial | 056 |
| Patient Name | Mr. HRISHAN DASGUPTA | Contact No | 8583910611 |
| Address | 172/Y/D TARAPUKUR QUARTERS SERAMPORE 712203 | Age | 12 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||