Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 10251 | Date 29/11/2025 |
| Token No | SM/25-26/11246 29/11/2025 | Serial | 086 |
| Patient Name | Mr. AKASH SARKAR | Contact No | 8420070934 |
| Address | 4 TARAPUKUR COLONY SERAMPORE 712203 | Age | 14 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||