Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05582 | Date 04/11/2023 |
| Token No | SM/25-26/8990 11/10/2025 | Serial | 056 |
| Patient Name | Mr. ABHIMANYU PRASAD | Contact No | 9681359307 |
| Address | 13/86 B B GHOSH ROAD SERAMPORE 712203 | Age | 6 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||