Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07989 | Date 05/10/2024 |
| Token No | SM/25-26/1758 08/05/2025 | Serial | 060 |
| Patient Name | Master SURJO DAS | Contact No | 8240892973 |
| Address | 206/A NEW MAHESH SERAMPORE 712203 | Age | 1 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||