Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06165 | Date 03/02/2024 |
| Token No | SM/25-26/1738 08/05/2025 | Serial | 040 |
| Patient Name | Mr. PRIYOM DAS | Contact No | 7890993104 |
| Address | 65/25/23 MAHESH JANNAGAR ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 7 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 20 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||