Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 09881 | Date 03/09/2025 |
| Token No | SM/25-26/7402 03/09/2025 | Serial | 058 |
| Patient Name | Master NAMISH SHARMA | Contact No | 7596963361 |
| Address | A/6/Y TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 5 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||