Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 10526 | Date 14/02/2026 |
| Token No | SM/25-26/15472 02/03/2026 | Serial | 048 |
| Patient Name | Master IVON SIMON | Contact No | 8250979320 |
| Address | A/58/Y TARAPUKUR GOVT QUARTERS SERAMPORE 712203 | Age | 1 Years,0 Months,0 Days Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||