Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05871 | Date 14/12/2023 |
| Token No | SM/25-26/7328 02/09/2025 | Serial | 043 |
| Patient Name | Mr. SANDIP TURIYA | Contact No | 7596864275 |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 13 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 24 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||