Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09725 | Date 11/08/2025 |
| Token No | SM/25-26/6140 11/08/2025 | Serial | 005 |
| Patient Name | Mr. SOUMOJIT GUHA | Contact No | 8777485200 |
| Address | 43/46/J PRABASHNAGAR SERAMPORE 712249 | Age | 16 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||