Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03291 | Date 30/11/2022 |
| Token No | SM/25-26/10264 10/11/2025 | Serial | 078 |
| Patient Name | Master AYUSH PAL | Contact No | 9123013641 |
| Address | 2/C TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 5 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 23 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||