Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09382 | Date 02/06/2025 |
| Token No | SM/25-26/5309 24/07/2025 | Serial | 047 |
| Patient Name | Mr. SURAJ SHAW | Contact No | 7044355233 |
| Address | M J ROAD CHAKLAPARA SERAMPORE 712249 | Age | 11 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||