Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 09747 | Date 13/08/2025 |
| Token No | SM/25-26/6292 13/08/2025 | Serial | 029 |
| Patient Name | Master JASPRIT SARKAR | Contact No | 9330446890 |
| Address | 121 RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 1 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||