Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01839 | Date 08/06/2022 |
| Token No | SM/25-26/7815 11/09/2025 | Serial | 022 |
| Patient Name | Mr. SUSANTA RAJAK | Contact No | 8420963733 |
| Address | 194 NEW MAHESH SERAMPORE 712203 | Age | 8 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 22 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||