Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09255 | Date 08/05/2025 |
| Token No | SM/25-26/1812 09/05/2025 | Serial | 039 |
| Patient Name | Master TANBIR KANDAL | Contact No | 6291691573 |
| Address | HARIJAN QUARTER B B GHOSH ROAD SERAMPORE 712203 | Age | 3 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||