Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04441 | Date 05/07/2023 |
| Token No | SM/25-26/4977 19/07/2025 | Serial | 008 |
| Patient Name | Master VIRAT KANDAL | Contact No | 6290616853 |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 4 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 15 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||