Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09708 | Date 07/08/2025 |
| Token No | SM/25-26/6007 07/08/2025 | Serial | 052 |
| Patient Name | Mr. ANKIT BHUIYA | Contact No | 7044743847 |
| Address | B B GHOSH ROAD MALLICKPARA SERAMPORE 712203 | Age | 15 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||