Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09487 | Date 21/06/2025 |
| Token No | SM/25-26/3836 21/06/2025 | Serial | 042 |
| Patient Name | Mr. SHIBAM THAKUR | Contact No | 9875608954 |
| Address | GHORAMARA PURPARA SERAMPORE 712203 | Age | 10 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||