Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 09932 | Date 10/09/2025 |
| Token No | SM/25-26/7772 10/09/2025 | Serial | 091 |
| Patient Name | Mr. AADISHMAN JOSHI | Contact No | 8961510654 |
| Address | ALCOVE NEW KOLKATA MAHESH SERAMPORE 712202 | Age | 16 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||