Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 10275 | Date 06/12/2025 |
| Token No | SM/25-26/11579 06/12/2025 | Serial | 077 |
| Patient Name | Master YUG SHA | Contact No | 6291895925 |
| Address | 65/25/1/1 GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 4 YRS Male |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||