Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06408 | Date 12/03/2024 |
| Token No | SM/25-26/8417 24/09/2025 | Serial | 008 |
| Patient Name | Master BIDIT PANDIT | Contact No | 8910921263 |
| Address | 97/F/6 PRAVASHNAGAR SERAMPORE 712249 | Age | 4 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 10 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||