Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06828 | Date 22/05/2024 |
| Token No | SM/25-26/1131 24/04/2025 | Serial | 032 |
| Patient Name | Mr. ADITYA SHAW | Contact No | 9564973427 |
| Address | 11 NEW MAHESH SERAMPORE 712203 | Age | 12 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 30 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||