Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02262 | Date 18/07/2022 |
| Token No | SM/25-26/11592 06/12/2025 | Serial | 090 |
| Patient Name | Mr. JITESH SHAW | Contact No | 8420224994 |
| Address | 186 NEW MAHESH SERAMPORE 712203 | Age | 7 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 20 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||