Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09986 | Date 20/09/2025 |
| Token No | SM/25-26/8279 20/09/2025 | Serial | 037 |
| Patient Name | Master ARIYAN AKELA | Contact No | 6204052349 |
| Address | PRAVASHNAGAR SERAMPORE 712249 | Age | 1 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||