Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03279 | Date 29/11/2022 |
| Token No | SM/25-26/7728 10/09/2025 | Serial | 047 |
| Patient Name | Mr. SUBHRADEEP DAS | Contact No | 9674823693 |
| Address | SOCIETY MATH B B GHOSH ROAD SERAMPORE 712203 | Age | 6 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 14 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||