Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 09447 | Date 13/06/2025 |
| Token No | SM/25-26/3731 19/06/2025 | Serial | 023 |
| Patient Name | Mr. SAYAN PAUL | Contact No | 9958032387 |
| Address | 84/X TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 17 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||