Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 10209 | Date 22/11/2025 |
| Token No | SM/25-26/10848 22/11/2025 | Serial | 063 |
| Patient Name | Master ASHUTOSH SHAW | Contact No | 6299742101 |
| Address | 66/D/21 PRABASHNAGAR SERAMPORE 712249 | Age | 2 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||