Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 09628 | Date 23/07/2025 |
| Token No | SM/25-26/5247 23/07/2025 | Serial | 088 |
| Patient Name | Mr. SHIVAM DAS | Contact No | 8777634363 |
| Address | TALPUKUR MALLICKPARA SERAMPORE 712203 | Age | 5 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||