Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 09626 | Date 23/07/2025 |
| Token No | SM/25-26/8858 09/10/2025 | Serial | 042 |
| Patient Name | Master RUDRA KARMAKAR | Contact No | 7980042190 |
| Address | 98 RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 1 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||