Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05417 | Date 12/10/2023 |
| Token No | SM/25-26/4559 11/07/2025 | Serial | 014 |
| Patient Name | Mr. ADITYA CHOWDHURY | Contact No | 8240384166 |
| Address | 192 NEW MAHESH SERAMPORE 712203 | Age | 15 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 31 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||