Ticket for Outdoor Patient
| Ward No. 24 | U-PHC No. | Registration No. 09997 | Date 22/09/2025 |
| Token No | SM/25-26/8384 22/09/2025 | Serial | 091 |
| Patient Name | Mr. VISHAL DAS | Contact No | 9836596377 |
| Address | 9/A RAILAND ROAD SERAMPORE 712248 | Age | 13 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||