Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 11195 | Date 05/10/2026 |
| Token No | SM/25-26/22618 26/10/2026 | Serial | 008 |
| Patient Name | Mr. RAGHUVEER SHAW | Contact No | 9007076218 |
| Address | 97/F PRAVASHNAGAR SERAMPORE 712249 | Age | 5 Years,11 Months,2 Days Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||