Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05533 | Date 30/10/2023 |
| Token No | SM/25-26/4904 17/07/2025 | Serial | 081 |
| Patient Name | Master SARTHAK KUMAR | Contact No | 7605825675 |
| Address | 165/A/1 MAHESH JANNAGAR ROAD SERAMPORE 712249 | Age | 2 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||