Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03477 | Date 23/12/2022 |
| Token No | SM/25-26/3858 23/06/2025 | Serial | 017 |
| Patient Name | Mr. REHAN DOLUI | Contact No | 8583023473 |
| Address | D CRUZE GARDEN LANE SERAMPORE 712203 | Age | 6 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 15 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||