Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09771 | Date 18/08/2025 |
| Token No | SM/25-26/6521 18/08/2025 | Serial | 059 |
| Patient Name | Master REHAN DOM | Contact No | 8250185200 |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 1 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||