Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09048 | Date 04/04/2025 |
| Token No | SM/25-26/438 09/04/2025 | Serial | 023 |
| Patient Name | Mr. OM PRAKASH PARIDA | Contact No | 8420847512 |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 6 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||