Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 10241 | Date 28/11/2025 |
| Token No | SM/25-26/11157 28/11/2025 | Serial | 046 |
| Patient Name | Mr. SWAPNANEEL GHOSH | Contact No | 9330951833 |
| Address | 2/259 MAHESH COLONY SERAMPORE 712202 | Age | 16 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||