Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 09944 | Date 12/09/2025 |
| Token No | SM/25-26/7894 12/09/2025 | Serial | 009 |
| Patient Name | Master MEGHAN ROUTH | Contact No | 7278823526 |
| Address | 30/25 TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 5 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||