Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05739 | Date 25/11/2023 |
| Token No | SM/25-26/6684 21/08/2025 | Serial | 050 |
| Patient Name | Mr. PROSON PODDAR | Contact No | 8697083890 |
| Address | 11/E PRAVASHNAGAR SERAMPORE 712249 | Age | 15 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||