Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09597 | Date 21/07/2025 |
| Token No | SM/25-26/6835 25/08/2025 | Serial | 069 |
| Patient Name | Master ARIYAN SINGH | Contact No | 8017539602 |
| Address | 24/A SARADA PALLY 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 | |||