Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04963 | Date 26/08/2023 |
| Token No | SM/25-26/6488 18/08/2025 | Serial | 026 |
| Patient Name | Mr. ADITYA NANDI | Contact No | 8478987391 |
| Address | 50/Y TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 15 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 66 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||