Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02291 | Date 21/07/2022 |
| Token No | SM/25-26/3533 14/06/2025 | Serial | 036 |
| Patient Name | Master AYUSHMAN SINGH | Contact No | 7980703674 |
| Address | 13 B B GHOSH ROAD SERAMPORE 712203 | Age | 4 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||