Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 07768 | Date 29/08/2024 |
| Token No | SM/25-26/8355 22/09/2025 | Serial | 062 |
| Patient Name | Master SK AYAAN | Contact No | 9831507393 |
| Address | 83 MALLICKPARA LANE SERAMPORE 712203 | Age | 5 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||