Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09362 | Date 29/05/2025 |
| Token No | SM/25-26/2766 29/05/2025 | Serial | 037 |
| Patient Name | Master RICK DEY | Contact No | 6290911315 |
| Address | 164/C PRAVASHNAGAR SERAMPORE 712249 | Age | 1 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||