Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02634 | Date 05/09/2022 |
| Token No | SM/25-26/8952 11/10/2025 | Serial | 018 |
| Patient Name | Mr. SROVAN DAS | Contact No | 7439971301 |
| Address | 26/B B B GHOSH ROAD SERAMPORE 712249 | Age | 12 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||