Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09390 | Date 03/06/2025 |
| Token No | SM/25-26/6114 09/08/2025 | Serial | 014 |
| Patient Name | Master PRIYANK CHAKRABORTY | Contact No | 9681245741 |
| Address | 43/17/A PRAVASHNAGAR SERAMPORE 712249 | Age | 4 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||