Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 02003 | Date 22/06/2022 |
| Token No | SM/25-26/7834 11/09/2025 | Serial | 041 |
| Patient Name | Mr. PRITAM NANDI | Contact No | 9836713978 |
| Address | C/128/X TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 13 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 39 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||