Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 10231 | Date 27/11/2025 |
| Token No | SM/25-26/11095 27/11/2025 | Serial | 048 |
| Patient Name | Master GOURAB DAS | Contact No | 8444913795 |
| Address | 9/434 PRAVASHNAGAR SERAMPORE 712249 | Age | 5 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||