Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10311 | Date 18/12/2025 |
| Token No | SM/25-26/12095 18/12/2025 | Serial | 008 |
| Patient Name | Mr. KALU SINGH | Contact No | |
| Address | SERAMPORE | Age | 6 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||