Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05662 | Date 16/11/2023 |
| Token No | SM/25-26/7926 12/09/2025 | Serial | 041 |
| Patient Name | Mr. VISHWANGAN KUMAR | Contact No | 7044691843 |
| Address | 20/A/2A PRAVASHNAGAR SERAMPORE 712249 | Age | 11 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||